The nurse is caring for a patient with severe congestive heart fa...

The nurse is caring for a patient with severe congestive heart failure (CHF). Peripheral perfusion is stable at present on medical therapy. On exam, the patient has significant jugular venous distention and peripheral edema, as well as dyspnea secondary to pulmonary edema. Which of the following statements is most appropriate regarding this patient’s volume status and needs?

Patient is volume overloaded and fluid restriction would likely help this patient’s symptoms.

Patient is euvolemic and requires only daily intravenous maintenance fluids

Patient is volume contracted and requires steady intravenous fluid resuscitation with normal saline

Patient requires immediate aggressive fluid resuscitation

Category: Basic Care and Comfort
Difficulty: 3

Topics: Cardiovascular Respiratory

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