A nurse is caring for a 68-year-old patient with chronic heart failure who has been admitted with acute exacerbation. The patient presents with dyspnea, bilateral lower extremity edema, and jugular venous distension. Current vital signs: BP 90/60 mmHg, HR 110 bpm, RR 28/min, O2 sat 88% on room air. The patient is receiving furosemide 40 mg IV BID and has a fluid restriction of 1500 mL/day. Which nursing intervention should the nurse prioritize first?

• 1 Administer the next scheduled dose of furosemide immediately
• 2 Increase the patient's fluid restriction to 1000 mL/day
• 3 Encourage the patient to ambulate to improve circulation
• 4 Apply supplemental oxygen and position the patient in high Fowler's position ✓ 정답

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