Question

"An older adult client has experienced an episode of acute pulmonary edema. Fearful of a repeat episode, the client asks what precautions should be taken to prevent another episode. What instruction should the nurse give to this client?

A. Limit calorie intake.
B. Measure weight twice per day.
C. Call the health care provider if he gains more than 3 lb (1.4 kg) in 1 day.
D. Restrict carbohydrates."

Answer 1

The client with a history of acute pulmonary edema should monitor food portions, eat a diet low in sodium and saturated fats, closely track their weight, and engage in regular physical activity to prevent a recurrent episode. Sudden weight gain should prompt a call to the health care provider.

Step-by-step explanation:

To prevent another episode of acute pulmonary edema, the nurse should instruct the client to monitor food portions to ensure that calorie intake is balanced with physical activity, which helps in weight management. Additionally, the client should consume a diet low in sodium, saturated fats, and added sugars, as these can exacerbate fluid retention and contribute to pulmonary edema. The nurse should advise the client to:

• Limit intake of foods and beverages with high levels of sodium, saturated fats, and added sugars.
• Monitor weight regularly, noting sudden increases which may indicate fluid retention.
  

Important to note, the client should call the health care provider if they experience a weight gain of more than 3 lb (1.4 kg) in a day, as this may signal worsening edema. Lastly, engaging in regular physical activity and maintaining a healthy weight are crucial for preventing recurrent episodes of pulmonary edema.