After teaching a client with congestive heart failure (CHF), the nurse assesses the client's understanding. Which client statements indicate a correct understanding of the teaching related to nutritional intake? (Select all that apply.)
a. "I'll read the nutritional labels on food items for salt content."
b. "I will drink at least 3 liters of water each day."
c. "Using salt in moderation will reduce the workload of my heart."
d. "I will eat oatmeal for breakfast instead of ham and eggs."
e. "Substituting fresh vegetables for canned ones will lower my salt intake."
ANS: A, D, E
Nutritional therapy for a client with CHF is focused on decreasing sodium and water retention to decrease the workload of the heart. The client should be taught to read nutritional labels on all food items, omit table salt and foods high in sodium (e.g., ham and canned foods), and limit water intake to a normal 2 L/day.
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