The nurse is assessing a client being treated for congestive heart failure. Which of the following physical findings would indicate that the client's condition is not improving?
1. Temperature of 98.6°F (37°C)
2. Moderate amount of clear thin mucus
3. Pulse oximetry reading of 96%
4. Wheezing of breath sounds in all lobes
4. Wheezing of breath sounds in all lobes
Rationale:
Wheezing heard when assessing breath sounds is indicative of abnormal breath sounds, which are characteristic in congestive heart failure. These sounds would indicate that the client's condition is not improving. A temperature reading of 98.6°F, moderate clear mucus, and a pulse oximetry reading of 96% are all normal findings.
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