A 66-year-old patient has been in the hospital for care and management of heart failure. The patient has been given orders for discharge and the nurse is reviewing dismissal instructions with him. Which of the following information would be included as part of discharge information for this patient?

 

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Correct

- The patient should not eat more than 2,000 mg of sodium each day

- The patient should not have more than 3 alcoholic beverages per day

- The patient should take non-steroidal anti-inflammatory drugs (NSAIDs) for pain control and not acetaminophen

- The patient should restrict his fluid intake to less than 4,000 mL per day

Rationale

Heart failure can cause an increase in fluid in the circulatory system, which is a reason the condition used to be referred to as congestive heart failure. Excess sodium intake can cause changes in circulatory volume, potentially increasing fluid and contributing to buildup. Many patients with heart failure are restricted in their dietary sodium to 2,000 mg a day, although in some cases, the physician may allow for more or less, depending on the patients condition.

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