A home health nurse is examining the lab results of several patients with a history of heart failure (HF). Which patient’s finding should the nurse immediately report to the healthcare provider?

Answer and explanation The correct answer is B. Choice A rationale

Applying oxygen via a nasal cannula might help alleviate the client’s shortness of breath, but it does not address the potential cause of the client’s symptoms.

Choice B rationale

Given the client’s symptoms and potential exposure to an unknown substance, it is crucial to monitor his vital signs and cardiorespiratory status. This will help healthcare providers detect any changes in the client’s condition and respond appropriately.

Choice C rationale

Infusing IV fluid boluses might be necessary if the client is dehydrated, but there is no indication of this in the scenario.

Choice D rationale

Administering antiviral medication would be appropriate if the client were confirmed to have a viral infection. However, the client’s symptoms and history suggest a potential exposure to an unknown substance, which requires further evaluation.

Answer and explanation

The correct answer is Choice B.

Choice A rationale

The Social Security Administration office primarily provides financial support to retirees, disabled individuals, and families of deceased workers. While it might provide some financial assistance to the client, it does not directly address the client’s nutritional needs or potential social isolation.

Choice B rationale

The Senior Citizen Center offers a variety of services to older adults, including meal programs, health and wellness programs, and opportunities for social interaction. This could help address the client’s weight loss and potential social isolation.

Choice C rationale

The Women, Infants, and Children office provides nutritional support to low-income pregnant women, new mothers, and young children. It is not typically a resource for older adults.

Choice D rationale

The Adult Day Care Center provides care and companionship for older adults who need assistance or supervision during the day. While it could provide social interaction for the client, it does not directly address the client’s weight loss.