The Home Health Nurse Is Caring for a Patient with Congestive

The home health nurse is caring for a patient with congestive heart failure (CHF) .Which assessment finding should the nurse report immediately to the physician?

A) Moderate shortness of breath after walking down the hall
B) A 3 pound weight gain over the course of a week
C) Heart rate of 104 beats/min after ambulating to the bathroom
D) Increase in urinary output to 50 mL in the last hour