NCLEX RN Medical Surgical Questions and Answers

The nurse has completed an assessment on a client with a decreased cardiac output. Which findings should receive the highest priority?

A. BP 110/62, atrial fibrillation with HR 82, bibasilar crackles.

B. Confusion, urine output 15 mL over the last 2 hours, orthopnea.

C. SpO2 92 on 2 liters nasal cannula, respirations 20, 1+ edema of lower extremities.

D. Weight gain of 1 kg in 3 days, BP 130/80, mild dyspnea with exercise.

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