The nurse is assessing a patient with coronary artery disease who has been hospitalized for 3 days. The nurse notes 3+ edema of the bilateral lower extremities and crackles in the lungs. Which of the following should the nurse do next?

Review the intake and output records since admission.

Explanation

• Remember, unless there is a need for immediate intervention, then conduct an assessment first

• The nurse should review the patient's intake and output records to determine if there is a disparity. Input greater than output will cause fluid overload, as evidence by edema and crackles

• Incorrect: The other options are appropriate interventions, but the nurse should gather additional assessment data before contacting the physician for more orders

Visit our website for other NCLEX topics now!