The nurse is preparing a client a diagnosis of congestive heart failure (CHF) for discharge. Which statement by the client indicates a correct understanding of self-management of CHF?*1 pointa. "I can gain 2 pounds (1 kg) of water a day without risk."b. "I should call my provider if I gain more than 1 pound (0.5 kg) a week."c. "Weighing myself daily can determine if my caloric intake is adequate."d. "Weighing myself daily can reveal increased fluid retention."
Question
The nurse is preparing a client a diagnosis of congestive heart failure (CHF) for discharge. Which statement by the client indicates a correct understanding of self-management of CHF?*1 pointa. "I can gain 2 pounds (1 kg) of water a day without risk."b. "I should call my provider if I gain more than 1 pound (0.5 kg) a week."c. "Weighing myself daily can determine if my caloric intake is adequate."d. "Weighing myself daily can reveal increased fluid retention."
Solution
The correct answer is d. "Weighing myself daily can reveal increased fluid retention."
This statement indicates a correct understanding of self-management of CHF. Regular weight monitoring is crucial for patients with CHF as sudden weight gain may indicate fluid retention, a common complication of CHF. This can help in early detection of worsening heart failure before other symptoms such as shortness of breath or swelling appear.
Option a is incorrect because a sudden gain of 2 pounds could indicate worsening CHF. Option b is incorrect because a weight gain of more than 1 pound could indicate fluid retention and should be reported immediately. Option c is incorrect because daily weight is not an indicator of adequate caloric intake, but rather an indicator of fluid status.
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