Which statement by a patient with heart failure would indicate to the nurse that the patient does not understand the discharge instructions?
1. "I will increase my activity a little every day."
2. "I will contact the health care provider if I begin gaining weight."
3. "I will eat a low-sodium diet."
4. "I will pick up my new medications in a few days when I get paid."
4
Rationale 1: A slow increase in activity is a reasonable goal and meets the activity requirement for this disease process.
Rationale 2: The patient should understand that changes in weight indicate changes in fluid volume status.
Rationale 3: Low sodium intake (less than 1.5 grams per day) is necessary for patients with heart failure.
Rationale 4: It is important that the patient take the medication each and every day. Waiting for a few days to pick up the medication will not be effective.
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