The student nurse is preparing to perform an irrigation of the patient’s indwelling urethral catheter. Which action by the student nurse prompts the supervising nurse to intervene immediately?

The nurse is caring for a patient with severe congestive heart failure (CHF). Peripheral perfusion is stable at present on medical therapy. On exam, the patient has significant jugular venous distention and peripheral edema, as well as dyspnea secondary to pulmonary edema. Which of the following statements is most appropriate regarding this patient’s volume status and needs?

The patient presents to primary care with two round patches of hair loss on his scalp. He reports no trauma or symptoms aside from the hair loss. The nurse gathers information about his environment, including his workplace. The patient states he recently moved to the area for a new job and that his wife, who is pregnant with their first child, works at the same company. Which diagnosis does the nurse anticipate this patient will receive?