PGCC Nursing Congestive Heart Failure & Fluid Restriction Case Study
Question Description
You are caring for a 72 year old male, who was admitted for congestive heart failure (CHF). He is on a fluid restriction of 1200 mLs per day. He has a history of hypertension and a stroke. He is unable to verbalize his needs, but does nod yes/no appropriately. His medications include Furosemide 40 mg daily, Lisinopril 20 mg daily and aspirin 80 mg daily.
1. What additional information do you need?
2. What steps would you take to ensure hypervolemia does not occur?
3. What are the s/s of hypervolemia?
4. The fluid restriction is new for this patient. How would you educate him on the fluid restriction?
5. Identify actual nursing diagnoses related to CHF.
6. Develop a goal/outcome for the nursing diagnoses.
7. Develop 3 nursing interventions with rationales to help the patient meet the goal/outcome.
*Include citations and references
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