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.
