The nurse is caring for a client with right-sided heart failure who has ascites and hepatomegaly. What interventions can the nurse first provide to ensure the client has adequate nutritional intake?
A) Offer small, frequent feedings.
B) Give a medication to stimulate the appetite
C) Give the client anything he wants to eat.
D) Offer three larger meals throughout the day.
A
Feedback:
Preventing stomach distention increases the space in the thoracic cavity for lung expansion. Medication for appetite stimulation would not be given prior to trying the small, frequent feedings. The client should not be given foods high in sodium and should not be given any foods they desire. Three large meals would distend the abdomen and the client would not increase intrathoracic pressure.
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