A nurse prepares to discharge a client who has heart failure. ...

[craiczarry]

A nurse prepares to discharge a client who has heart failure. Based on the Heart Failure Core Measure Set, which actions should the nurse complete prior to discharging this client? (Select all that apply.)
 
  a. Teach the client about dietary restrictions.
  b. Ensure the client is prescribed an angiotensin-converting enzyme (ACE) inhibitor.
  c. Encourage the client to take a baby aspirin each day.
  d. Confirm that an echocardiogram has been completed.
  e. Consult a social worker for additional resources.

Question 2

A nurse prepares to discharge a client who has heart failure. Which questions should the nurse ask to ensure this client's safety prior to discharging home? (Select all that apply.)
 
  a. Are your bedroom and bathroom on the first floor?
  b. What social support do you have at home?
  c. Will you be able to afford your oxygen therapy?
  d. What spiritual beliefs may impact your recovery?
  e. Are you able to accurately weigh yourself at home?

[honnalora]

Answer to Question 1

ANS: A, B, D
The Heart Failure Core Measure Set includes discharge instructions on diet, activity, medications, weight monitoring and plan for worsening symptoms, evaluation of left ventricular systolic function (usually with an echocardiogram), and prescribing an ACE inhibitor or angiotensin receptor blocker. Aspirin is not part of the Heart Failure Core Measure Set and is usually prescribed for clients who experience a myocardial infarction. Although the nurse may consult the social worker or case manager for additional resources, this is not part of the Core Measures.

Answer to Question 2

ANS: A, B, D
To ensure safety upon discharge, the nurse should assess for structural barriers to functional ability, such as stairs. The nurse should also assess the client's available social support, which may include family, friends, and home health services. The client's ability to adhere to medication and treatments, including daily weights, should also be reviewed. The other questions do not address the client's safety upon discharge.