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?

The nurse notes the 4-day-old infant develops circumoral cyanosis while breastfeeding. Once the seal is broken and the neonate begins to cry, the cyanosis resolves and the child becomes pink. There are no nasal secretions and the neonate’s vitals are normal. Which action by the nurse is most helpful?  

The nurse is helping a woman who is 12 weeks pregnant develop a diet plan. Which initial action by the nurse is appropriate?