What should a home health nurse do for a patient with heart failure who has gained weight since the last visit?

In the context of a patient with heart failure, weight gain can indicate worsening fluid retention and the progression of the condition. It is crucial to monitor and manage this fluid status effectively. Ensuring that the patient has been taking their prescribed diuretic is essential because diuretics help the body eliminate excess fluid through urination. If the patient has not been adhering to their medication regimen, this could directly contribute to the weight gain observed.

By confirming that the patient is taking their diuretic as prescribed, the nurse can identify if non-adherence is a problem, which might necessitate a discussion about the importance of this medication. If the patient is taking it as directed but still experiencing weight gain, further assessment and intervention may be needed to address the potential underlying causes, including dietary intake or adjustments in medication.

Other options such as evaluating dietary habits, scheduling the next visit sooner, or recommending an exercise program do not address the immediate concern of fluid retention and may misprioritize the approach to the patient's management. It's crucial to first address medication adherence, especially with diuretics, before considering modifications in lifestyle or follow-up schedules.