The nurse is planning care for an older patient with class 3 congestive heart failure (CHF) being admitted to a skilled nursing facility. Which action would be appropriate for this patient during the first week of hospitalization?
A) Bed rest
B) Digitalis as needed
C) Passive range-of-motion exercises every shift
D) Assist to a chair on day 1 and progressively increase ambulation each day
D
Feedback:
The patient with class 3 CHF has symptoms with less than ordinary activities and limited physical ability. Treatment should include assisting the patient out of bed to a chair and slowly increasing the amount of ambulation each day. Bed rest is not advisable since this patient's CHF is not class 4, and this patient's plan should have progressive introduction of exercise. Digitalis will be prescribed by the physician as a daily dose and not as needed. Passive range-of-motion exercises would not be indicated for this patient.
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