The nurse is caring for a client who is receiving a loop diuretic for treatment of heart failure. Which of these actions will be included in the plan of care?Select all that apply.*1 pointa. Assess daily weights.b. Encourage consumption of citrus fruits.c. Weigh the client weekly.d. Monitor serum potassium.e. Discourage intake of spinach.d. Monitor for bradycardia.
Question
The nurse is caring for a client who is receiving a loop diuretic for treatment of heart failure. Which of these actions will be included in the plan of care?Select all that apply.*1 pointa. Assess daily weights.b. Encourage consumption of citrus fruits.c. Weigh the client weekly.d. Monitor serum potassium.e. Discourage intake of spinach.d. Monitor for bradycardia.
Solution
The actions that should be included in the plan of care for a client who is receiving a loop diuretic for treatment of heart failure are:
a. Assess daily weights: This is important as weight gain may indicate fluid retention, a common complication of heart failure.
d. Monitor serum potassium: Loop diuretics can cause loss of potassium, which can lead to hypokalemia. Regular monitoring of serum potassium levels is necessary to prevent this.
e. Discourage intake of spinach: Spinach is high in potassium. While potassium is generally good for the heart, too much can be harmful, especially when taking certain medications like loop diuretics.
d. Monitor for bradycardia: Bradycardia, or a slower than normal heart rate, can be a side effect of certain heart medications. Regular monitoring can help detect this early and allow for adjustments in treatment as necessary.
Encouraging consumption of citrus fruits and weighing the client weekly are not typically necessary actions in the care plan for a client receiving a loop diuretic for heart failure. Citrus fruits can interact with certain medications and weekly weigh-ins may not be frequent enough to catch fluid retention early.
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