A client with congestive heart failure (CHF) is on a treatment plan involving diuretics, a sodium-restricted diet, and daily weight monitoring. During a follow-up assessment, the client reports gaining 2 kg over the past three days and experiencing increased shortness of breath. Based on the findings, what is the BEST nursing intervention?
Reinforce the importance of daily weight monitoring to the client.
Assess the client’s adherence to the sodium-restricted diet.
Increase the diuretic dosage based on the client’s symptoms.
Notify the healthcare provider about the client’s weight gain and breathing difficulties.
The correct answer is to notify the healthcare provider about the client’s recent weight gain and breathing difficulties. These signs indicate worsening fluid retention and potential decompensation of CHF, which requires prompt medical evaluation to possibly adjust medications or treatment. Assessing dietary sodium intake is important but does not directly address the acute symptoms of worsening CHF. Education about daily weight monitoring is beneficial, but the situation demands immediate action to address the client’s compromised status. Increasing diuretic dosage independently would exceed the nurse’s scope of practice and could pose risks without provider approval.
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