Question

The nurse is developing a discharge-teaching plan for the client diagnosed with CHF. Which interventions should be included in the plan? Select all that apply.

a. Notify the health-care provider of a weight gain of more than one pound in a week.
b. Teach client how to count the radial pulse when taking digoxin, a cardiac glycoside.
c. Instruct the client to remove the saltshaker from the dinner table.
d. Encourage client to monitor urine output for change in color to become dark.
e. Discuss the importance of taking the loop diuretic furosemide at bedtime.

Answer 1

In a discharge-teaching plan for a client with CHF, the nurse should include interventions such as notifying the healthcare provider of weight gain, teaching the client to count the radial pulse when taking digoxin, and instructing the client to remove the saltshaker from the dinner table.

Step-by-step explanation:

When developing a discharge-teaching plan for a client diagnosed with congestive heart failure (CHF), the nurse should include the following interventions:

• Notify the health-care provider of a weight gain of more than one pound in a week: Weight gain may indicate fluid retention, which is a common symptom of CHF. Notifying the healthcare provider is important for timely intervention.
• Teach the client how to count the radial pulse when taking digoxin, a cardiac glycoside: Digoxin is commonly prescribed for CHF, and monitoring the pulse rate is crucial to assess the drug's effectiveness and potential toxicity.
• Instruct the client to remove the saltshaker from the dinner table: Sodium restriction is vital for managing CHF as excess sodium can contribute to fluid retention and worsen symptoms.