The client experiencing right-sided heart failure is prescribed ...

[nenivikky]

The client experiencing right-sided heart failure is prescribed digoxin and spironolactone (Aldactone). Which diet change should the nurse instruct the client to make?
 
  1. Include oranges and bananas in the diet.
  2. Eat spinach three times a week.
  3. Limit sodium in the diet.
  4. Take a diuretic before going to bed.

Question 2

When planning care for a client with heart failure, the nurse should plan priority interventions that will assist the client to:
 
  1. Prepare their meals.
  2. Promote cleanliness in the home.
  3. Conserve energy to reduce fatigue and weakness.
  4. Select complementary therapies.

[Dominic]

Answer to Question 1

Answer: 3

1. Oranges and bananas are high in potassium. Aldactone is a potassium-sparing diuretic, so the client does not need to increase potassium in the diet.
2. The client taking anticoagulants needs to restrict spinach in the diet.
3. The client with heart failure should be instructed to limit sodium in the diet because sodium is responsible for retained fluid.
4. Since a diuretic promotes diuresis, the nurse should recommend that the client take the medication in the morning, so that sleep is not interrupted.

Answer to Question 2

Answer: 3

1. The nurse does not teach the client to cook, but might consider referring the client to a dietician.
2. Cleanliness can be important if the client is immunosuppressed, which is not common to clients with heart failure.
3. Client's with heart failure have diminished reserve and activity intolerance. The nurse plan interventions to conserve energy and reduce fatigue and weakness.
4. The nurse does not advise clients about complementary therapies, but works with a client who is interested in choosing other therapies.

[nenivikky]

Thank you

[Dominic]

No problemo