During a home visit the nurse suspects that a patient with heart failure needs additional teaching. What did the nurse observe to make this decision?
Select all that apply.
1. The patient lifted an 18-month-old child off the floor.
2. The patient's lunch was a small salad and half a sandwich.
3. The patient drank from a pitcher of water on the coffee table.
4. The patient documented the frequency and amount of walking completed.
5. Working in the kitchen, the patient was obviously sweating and short of breath.
Correct Answer: 1, 5
Home activity guidelines for the patient with heart failure include no heavy lifting. An 18-month-old child would be considered heavy. The patient should also stop any activity that causes sweating or shortness of breath. Other guidelines include eating up to six small meals per day, drinking water to prevent constipation, and participating in a graded exercise program.
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