NCLEX RN Practice Question

The correct answer is to assess for additional evidence of fluid overload, such as lung sounds or peripheral edema, and report findings to the healthcare provider for further evaluation. These symptoms may indicate worsening heart failure, and understanding the full clinical picture is critical for adjusting the plan of care appropriately. While ensuring adherence to dietary restrictions and educating the client are important, these actions do not directly address the potential acute condition. Similarly, increasing monitoring frequency does not intervene to prevent worsening symptoms or complications.