The nurse instructs a client with heart failure on restricting sodium in the diet. Which client statement indicates that teaching was ineffective "I can use as much salt substitute as I want."
Dietary Sodium Intake in Heart Failure:
- Excessive sodium intake is associated with fluid retention. Therefore, all HF management guidelines recommend sodium restriction.
- In 2005, the American College of Cardiology and the American Heart Association HF guidelines recommended 3000 to 4000 mg daily sodium intake and for patients with volume overload, restriction to 2000 mg/d. This recommendation was subsequently updated to moderate sodium restriction.
- The Heart Failure Society of America recommends 2000 to 3000 mg daily. Sodium intake and <2000 mg for patients with moderate to severe HF symptoms.
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