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    Ati med surg cardiology proctored exam
    Select All That Apply

    Which interventions are most appropriate for managing fluid retention in a patient with right-sided heart failure? (Select all that apply)

    Explanation & Rationale

    A. Limiting sodium intake helps reduce fluid retention because sodium promotes water retention. This is a key dietary intervention in managing edema associated with right-sided heart failure. B. Trendelenburg positioning (head lower than feet) increases venous return and can worsen venous congestion and edema, making it inappropriate for patients with right-sided heart failure. C. Calcium channel blockers are primarily used for hypertension, angina, and certain arrhythmias. They are not first-line therapy for managing fluid retention in right-sided heart failure. D. Elevating the legs helps promote venous return from the lower extremities, reducing peripheral edema and discomfort associated with fluid accumulation. E. Thoracentesis is used to remove pleural effusions, which are more common in left-sided or biventricular heart failure, not routine management of peripheral edema in right-sided failure. F. Monitoring jugular vein distension (JVD) provides information about central venous pressure and helps assess the severity of fluid overload in right-sided heart failure. G. Loop diuretics, such as furosemide, promote diuresis, reducing fluid overload, edema, and venous congestion. They are a mainstay of pharmacologic management in right-sided heart failure. H. Tracking fluid intake and output is essential to evaluate fluid balance and the effectiveness of diuretics. Accurate monitoring helps prevent volume overload or dehydration. I. Compression stockings help promote venous return from the lower extremities and reduce peripheral edema, supporting overall fluid management in right-sided heart failure.

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