A 78-year-old female client in the skilled nursing facility…
A 78-year-old female client in the skilled nursing facility has had heart failure and chronic kidney disease. She is receiving furosemide by mouth twice daily, as well as lisinopril. This morning, the nurse notes the following;* weight has increased by 3 pounds (1.4kg) since yesterday*blood pressure is 158/92mmHg* Respiratory rate is 22, lungs have bilateral crackles at the bases*urine output in the past 8 hours is 240mL* the client reports mild shortness of breath and swelling in her anklesUSING CLINICAL REASONING, WHAT IS THE MOST APPROPRIATE NURSING ACTION?
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