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6 years ago
The nurse is assessing a client being treated for congestive heart failure. Which of the following physical findings would indicate that the client's condition is not improving?
 
  1. Temperature of 98.6F (37C)
   2. Moderate amount of clear thin mucus
   3. Pulse oximetry reading of 96
   4. Wheezing of breath sounds in all lobes
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6 years ago
4. Wheezing of breath sounds in all lobes

Rationale:
Wheezing heard when assessing breath sounds is indicative of abnormal breath sounds, which are characteristic in congestive heart failure. These sounds would indicate that the client's condition is not improving. A temperature reading of 98.6F, moderate clear mucus, and a pulse oximetry reading of 96 are all normal findings.
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