A nurse is caring for a client at a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider?

- Potassium: 4.1 mEq/L
- Heart rate: 55/min
- SaO₂: 92%
- Weight: 67.1 kg (148 lb)



Answer :

Sure, let's analyze the patient's data step-by-step to determine which findings should be reported to the provider.

### Potassium Level
- Value: 4.1 mEq/L
- Normal Range: 3.5 - 5.0 mEq/L
- Analysis: The potassium level is within the normal range. No concerns here, so no need to report this to the provider.

### Heart Rate
- Value: 55 beats per minute (bpm)
- Normal Range: 60 - 100 bpm
- Analysis: The heart rate is slightly below the normal range. This condition is known as bradycardia and it can be a concern, especially in a patient with a history of heart failure. This should be reported to the provider.

### SaO₂ (Oxygen Saturation)
- Value: 92%
- Normal Range: 95 - 100%
- Analysis: The arterial oxygen saturation level is slightly below the normal range. This indicates that the patient may not be getting enough oxygen, which can be critical for someone with heart conditions. This should be reported to the provider.

### Weight
- Value: 67.1 kg (148 lb)
- Analysis: Without additional trend data (such as weight changes over time), this single weight measurement alone doesn't indicate an immediate concern. Weight changes are more relevant over time, especially for a heart failure patient.

### Summary
Based on the provided information, the nurse should report the following concerns to the provider:
1. Heart Rate: 55 bpm (below the normal range, indicating bradycardia)
2. SaO₂: 92% (below the normal range, indicating potential oxygen deficiency)

The potassium level is normal and the weight, in isolation, doesn't present an immediate issue.

Hence, the findings to report to the provider are:
- Heart rate: 55 bpm (concern for bradycardia)
- SaO₂: 92% (concern for oxygen deficiency)