Cardiac Question #7

Question

The nurse is providing discharge education on fluid balance monitoring to a patient with a new diagnosis of right-sided heart failure. The nurse will stress which priority instruction for monitoring fluid balance?

Answers

  1. Weigh daily at the same time in similar clothing
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  2. Take self-pulse rates and report findings below 60
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  3. Take blood pressure at the same time daily
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  4. Bowel movements should be logged
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Overview

Explanation

Instruction of daily weights is important in assessing fluid balance with HF. Clients should report edema or weight gain to the HCP. It is important to monitor heart rate and blood pressure (especially if taking certain cardiovascular medications like ACE inhibitors, lanoxin, low-dose beta-blockers, or diuretics); however, assessing weight is best for monitoring fluid balance.

Learning Outcomes

Test Taking Tip

Video Rationale