Final answer:
Mrs. Shumway's ADL routine for CHF should include monitoring fluid intake and output to manage fluid balance and prevent exacerbation of heart failure symptoms.
Step-by-step explanation:
Considering Mrs. Shumway's primary diagnosis of CHF (Congestive Heart Failure), you would expect her ADL (Activities of Daily Living) routine to include a) Monitoring fluid intake and output. This is because heart failure patients need to avoid fluid overload, which can exacerbate heart failure symptoms.
Monitoring helps in managing fluid retention, a common problem with CHF, by keeping track of the amounts of fluids consumed and eliminated from the body to prevent exacerbation of the condition.
Resistance training, cognitive therapy, and vision improvement exercises are not specifically indicated for CHF management and do not directly address the common symptoms and complications associated with CHF such as fluid retention, fatigue, and shortness of breath.