A client with heart failure does not have a scale to weigh on at home. What other methods might the client be instructed to use until a scale can be purchased?

1. Instruct the client to see if his or her same belt or shoes are tighter every day.
2. Have the client observe if he or she feels heavier while wearing the same clothing every day.
3. Suggest the client come to the health department every other week to weigh.
4. Have the client notice if his or her rings are tighter.


Instruct the client to see if his or her same belt or shoes are tighter every day.

Rationale: A heart failure client who is gaining fluid will have his or her belt or shoes get tighter. However, the best method of measuring fluid build-up is with a scale, and the client should be so instructed. A client will not be able to gauge "feeling" heavier. Weighing at the health department every other week is not frequent enough. A client should be advised to weigh daily and at the same time each day. A client's rings may get tighter, but this can also be impacted by other activities and temperature.

Nursing

You might also like to view...

Significant pharmacodynamic variations exist between adult patients and pediatric patients

Which of the following factors are known to contribute to differences in the ways that drugs affect target cells in children and infants? Select all that apply. A) Inability of children to accurately describe adverse effects B) Immaturity of children's organ systems C) Differences in the body composition of children D) The lack of active immunity in children E) Differences in the function of humoral immunity in children

Nursing

The nurse is caring for a 41-year-old patient who is pregnant with her first child. What can the nurse suggest to reduce the development of varicosities from the pregnancy? (Select all that apply.)

A) Jog in place. B) Take walk breaks. C) Rest in the Sims position. D) Increase the intake of vitamin D. E) Rest with the legs on a foot stool.

Nursing

What immunoglobulin pattern does the nurse expect in a child recently diagnosed with Wiskott-Aldrich syndrome?

a. Diminished levels of IgG b. Diminished levels of IgA c. Diminished levels of IgM d. Diminished levels of IgE

Nursing

Traditional Chinese medicine is based on balance and restoration of

a. natural immunity. b. yin and yang forces. c. natural healing forces. d. body, mind, and spirit.

Nursing