A nurse is caring for a client with moderate acute decompensated heart failure. The nurse should include which nursing intervention in the care plan?
• First-line therapy generally includes a loop diuretic such as furosemide, which will inhibit sodium chloride reabsorption in the ascending loop of Henle. Diuretics reduce circulating blood volume, diminish preload, and lessen systemic and pulmonary congestion.
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• Aside from improving ventricular pump performance and reducing myocardial workload, the client also needs to reduce physical and emotional stress.
• Even though the legs are edematous, they should not be elevated. Elevating the legs rapidly increases venous return to the heart.
• It is not necessary to restrict fluid intake in clients with mild or moderate heart failure. In more advanced cases, however, it is beneficial to limit water to 1000 mL/day.