Which finding would cause the nurse to suspect a patient with heart failure was experiencing end organ hypoperfusion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Confusion
2. Dropping blood pressure
3. Urine output 15 mL per hour
4. Heart rate 124
5. Peripheral edema
1,2,3,4
Rationale 1: Confusion is a manifestation of end organ hypoperfusion.
Rationale 2: Hypotension is a manifestation of end organ hypoperfusion.
Rationale 3: Decreased urinary output is a manifestation of end organ hypoperfusion.
Rationale 4: Tachycardia is a manifestation of end organ hypoperfusion.
Rationale 5: Peripheral edema is a manifestation of volume overload.
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