192k views
2 votes
A nurse is providing discharge teaching for a client who has HF. The nurse should instruct the client to report which of the following findings immediately to the provider?

a. weight gain of 2 lb in 24 hr
b. inc of 10 mmHg in systolic BP
c. dyspnea with exertion
d. dizziness when rising quickly

User Arlet
by
7.8k points

1 Answer

1 vote

Final answer:

Dizziness when rising quickly is a sign of orthostatic hypotension and is important for a patient with heart failure to report, as it reflects potential issues with blood pressure and circulation.

Step-by-step explanation:

A nurse instructing a client with heart failure (HF) should emphasize the importance of monitoring for symptoms or signs that require immediate medical attention. Dizziness when rising quickly can be a sign of orthostatic hypotension, which occurs when the blood pressure drops suddenly as a person stands up. This condition is significant for HF patients as it can indicate difficulties in the body's ability to manage blood pressure and circulation, potentially leading to inadequate perfusion to vital organs including the brain.

In HF, the heart's weakened state compromises its pumping efficiency, often necessitating careful management of fluids, medications, and other treatments aimed at maintaining optimal cardiovascular function. Warning signs such as orthostatic hypotension may suggest the need for treatment adjustments. In the broader context, close monitoring can also help in the early detection of complications like deep vein thrombosis (DVT) and other cardiovascular issues.

User Michael Ushakov
by
8.4k points
Welcome to QAmmunity.org, where you can ask questions and receive answers from other members of our community.