A home care nurse is instructing a patient with congestive heart failure on daily self-monitoring between home care visits. The nurse should instruct the patient to monitor and record
1. weight.
2. pulse.
3. temperature.
4. blood pressure.
5. respiratory rate.
Correct Answer: 1,2,4
Rationale 1: It is essential that the patient measure and record weight daily to monitor for fluid loss or retention.
Rationale 2: It is essential that the patient measure and record the pulse daily to determine the effectiveness of the medication therapy.
Rationale 3: There is no need for the patient to measure and record a daily temperature while taking a diuretic.
Rationale 4: It is essential that the patient measure and record daily blood pressure to determine the effectiveness of the medication therapy.
Rationale 5: There is no need for the patient to measure and record a daily respiratory rate while taking a diuretic.
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