The nurse is caring for a client with manifestations of dilated cardiomyopathy. When planning care, which consideration would the nurse make?
A) Place bed in a high or semi-high Fowler's position as needed.
B) Assist client to bathroom every 2 hours.
C) Instruct client to avoid strenuous activity.
D) Assess abdominal girth daily.
A
Feedback:
Dilated cardiomyopathy has clinical manifestations of dyspnea on exertion and when lying down. Depending on level of dyspnea, placing the client in an upright Fowler's position is helpful. Clients with hypertrophic cardiomyopathy have syncopal episodes and can collapse following strenuous activity. Assistance with ambulation to avoid falls is helpful. Restrictive cardiomyopathy includes manifestations of ascites and assessment of abdominal girth.
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