Based on the Joint Commission Core Measures for patients with heart failure, which topics should the nurse include in the discharge teaching plan for a patient who has been hospitalized with chronic heart failure (select all that apply)?
a. How to take and record daily weight
b. Importance of limiting aerobic exercise
c. Date and time of follow-up appointment
d. Symptoms indicating worsening heart failure
e. Actions and side effects of prescribed medications
Question 2
A patient who is receiving dobutamine (Dobutrex) for the treatment of acute decompensated heart failure (ADHF) has the following nursing interventions included in the plan of care.
Which action will be most appropriate for the registered nurse (RN) to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
a. Assess the IV insertion site for signs of extravasation.
b. Teach the patient the reasons for remaining on bed rest.
c. Monitor the patient's blood pressure and heart rate every hour.
d. Titrate the rate to keep the systolic blood pressure >90 mm Hg.
Aneurysm. Photograph of the aorta, the large blood vessel arising from the heart, with a large bulge
SHEEP HEART
Anterior View of the Heart
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