A patient diagnosed with heart failure has a B-type natriuretic peptide (BNP)level of 945 pg/mL upon admission to the hospital.At discharge, the patient's BNP is 435 pg/mL.Which discharge instruction should the nurse emphasize for this patient?
A)"Have additional pillows available in case you have increased dyspnea at night."
B)"Maintain bedrest if there is any edema of the ankles or feet."
C)"Monitor weight daily, and report weight gain immediately."
D)"Take vitamins E and C daily to improve cardiac function."

Question

Quizplus · Accepted Answer

BNP is a hormone released by the heart in response to increased pressure and volume. A decrease in BNP level from admission to discharge indicates improvement in heart failure. Therefore, the nurse should emphasize the importance of monitoring weight daily and reporting weight gain immediately to detect any signs of fluid retention and prevent readmission. Option A is a good instruction to alleviate dyspnea, but it is not the priority. Option B is not recommended because bedrest can lead to further deconditioning and increase the risk of thromboembolism. Option D is not evidence-based, and there is no data to support the use of vitamins E and C in heart failure management.

A Patient Diagnosed with Heart Failure Has a B-Type Natriuretic