The nurse weighs a patient with congestive heart failure and determines that there is a net weight gain of 3 lb within the last 24 hours. The patient states that she is short of breath. Place in...


The nurse weighs a patient with congestive heart failure and determines that there is a net weight gain of 3 lb within the last 24 hours. The patient states that she is short of breath. Place in priority order the nursing actions to take.


1. Listen to lung sounds.


2. Place nasal cannula O2 starting at 2 L/min.


3. Raise the head of the bed.


4. Notify the provider.


5. Take vital signs, including pulse oximetry.

Nov 24, 2021
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