Moderate

A patient with chronic heart failure reports new ankle swelling, increasing breathlessness and a sudden rise in body weight. Which action should the nurse take first?

Correct answer: A. Assess breathing and oxygenation promptly

  • A. Assess breathing and oxygenation promptly
  • B. Advise the patient to drink more water
  • C. Ask the patient to begin strenuous exercise
  • D. Reassure the patient that swelling is expected

Explanation

Breathlessness and sudden weight gain with oedema suggest worsening fluid retention and possible acute deterioration. Airway and breathing assessment takes priority before advice about fluids or exercise.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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