After teaching a client with congestive heart failure (CHF), the ...

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After teaching a client with congestive heart failure (CHF), the nurse assesses the client's understanding. Which client statements indicate a correct understanding of the teaching related to nutritional intake? (Select all that apply.)
 
  a. I'll read the nutritional labels on food items for salt content.
  b. I will drink at least 3 liters of water each day.
  c. Using salt in moderation will reduce the workload of my heart.
  d. I will eat oatmeal for breakfast instead of ham and eggs.
  e. Substituting fresh vegetables for canned ones will lower my salt intake.

Question 2

A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client with congestive heart failure. Which instructions should the nurse provide to the UAP when delegating care for this client? (Select all that apply.)
 
  a. Reposition the client every 2 hours.
  b. Teach the client to perform deep-breathing exercises.
  c. Accurately record intake and output.
  d. Use the same scale to weigh the client each morning.
  e. Place the client on oxygen if the client becomes short of breath.

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Answer to Question 1

ANS: A, D, E
Nutritional therapy for a client with CHF is focused on decreasing sodium and water retention to decrease the workload of the heart. The client should be taught to read nutritional labels on all food items, omit table salt and foods high in sodium (e.g., ham and canned foods), and limit water intake to a normal 2 L/day.

Answer to Question 2

ANS: A, C, D
The UAP should reposition the client every 2 hours to improve oxygenation and prevent atelectasis. The UAP can also accurately record intake and output, and use the same scale to weigh the client each morning before breakfast. UAPs are not qualified to teach clients or assess the need for and provide oxygen therapy.

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