A nurse is caring for a patient with congestive heart failure (CHF) on the cardiac telemetry floor. The nurse knows the plan of care for the patient should include which of the following? 

The patient will be on diuretic therapy to decrease overall fluid volume.
The patient will require a fluid intake restriction related to fluid volume excess.
The patient will require a sodium intake restriction to reduce fluid retention and reabsorption.

Explanation

•People with congestive heart failure (CHF) have difficulty with fluid volume excess causing edema (swelling) and shortness of breath.

•Water follows sodium, so these patients will be on a low sodium diet to help prevent excess fluid accumulation.

•Fluid intake will be restricted in these patients so that the diuretics used to expel excess fluid will be more effective.

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