Case Study #5
Background: You are a nurse working in the medical-surgical unit of a hospital. Mr. Smith,
a 68-year-old male, was admitted with congestive heart failure (CHF) exacerbation. He
has a history of hypertension, diabetes mellitus type 2, and chronic kidney disease. Mr.
Smith is currently receiving IV diuretics to manage his fluid imbalance.
Patient Information:
• Age: 68
• Diagnosis: Congestive heart failure exacerbation
• Past Medical History: Hypertension, diabetes mellitus type 2, chronic kidney disease
• Current Treatment: IV diuretic Spironolactone
Which of the following interventions is most important for preventing complications
in Mr. Smith's fluid imbalance?
Oa. Administering IV fluids with potassium supplementation
Ob. Increasing sodium intake
Oc. Monitor daily weight
Od. Limiting physical activity