A nurse is caring for a patient with dilated cardiomyopathy who is hospitalized for an acute flare of congestive heart failure (CHF). The patient has symptoms of fatigue, weakness, and dyspnea. The nurse notes peripheral edema as well as coolness and pallor in the distal extremities. Given this patient’s physiologic status, which of the following nursing interventions would be indicated? Select all that apply.

Patients with dilated cardiomyopathy and congestive heart failure do not require coughing, deep breathing, and incentive spirometry exercises. These are indicated in patients with exudative respiratory disorders and immobile patients. Although acute exacerbations of CHF may cause pulmonary vascular congestion, the main pathophysiologic principle that produces the patient’s signs and symptoms is reduced cardiac output. All of the other nursing interventions presented are appropriate for this patient.