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A 65-year-old male with congestive heart failure (CHF) is admitted with edema and dyspnea. What is the most appropriate nursing management?
Question

A 65-year-old male with congestive heart failure (CHF) is admitted with edema and dyspnea. What is the most appropriate nursing management?

A.

Encourage unlimited oral fluids to maintain hydration

B.

Restrict daily fluid intake as per physician’s order

C.

Administer extra sodium supplements

D.

Place patient in flat supine position for comfort

Correct option is B

In CHF, fluid overload worsens symptoms. Nurses should restrict fluids, monitor daily weight, and follow physician’s prescription for sodium and fluid balance.
Explanation of options: (a) ✘ Excess fluids worsen pulmonary congestion. (b) ✔ Correct; fluid restriction prevents overload. (c) ✘ Sodium restriction is recommended, not supplementation. (d) ✘ Supine position worsens orthopnea; Fowler’s position preferred.

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