Which of the following is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of HF in older adults who have HF?
a. Control fluid bal-ance. c. Prevent decondi-tioning.
b. Control blood pressure. d. Maintain patient safety.
A
The most important goal for keeping a patient who has HF out of the hospital is to control total body fluid; hypervolemia aggravates HF by increasing the blood volume and making the heart work harder. Controlling total body fluid also helps prevent dyspnea and hypertension, maintain physical activity, improve rest and sleep, and promote nutrition for optimal health and wellness.
Controlling the blood pressure is an important part of HF therapy; however, fluid volume status is implicated more often in those hospitalized with HF. Preventing deconditioning is an important yet challenging goal for patients with HF, but it is not frequently implicated in those hospitalized with HF. Maintaining patient safety is an important goal for any patient, but it is not commonly implicated as a cause of hospitalization for those with HF.
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