Practice Question
A patient with a history of heart failure presents with edema, shortness of breath, and elevated blood pressure. Which nursing interventions should be prioritized to address this fluid imbalance? (Select all that apply)
Answer Choices:
Correct Answer:
Monitor dally weight
Rationale:
🔷Monitor daily weight Daily weights are the most accurate indicator of fluid balance in clients with heart failure.
🔷A gain of more than 2 lb in 24 hours suggests fluid retention and worsening heart failure.
🔷Encourage low-sodium diet Sodium promotes water retention, increasing preload and worsening edema and pulmonary congestion.
🔷 Low-sodium diets reduce fluid overload and cardiac workload.
🔷Administer prescribed diuretics Diuretics (e.g., furosemide) promote fluid excretion, reducing edema and improving breathing.
🔷 Monitoring urine output and electrolyte balance is critical.
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This question is from ☑️ Custom Fluids Electrolytes Respiratory which contains 52 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Adult Health
- Answer Choices: 5