What should the nurse realize when planning care for a patient with a body mass index of 40 who is newly diagnosed with heart failure?

Question

Quizplus · Accepted Answer

1. Although HF incidence and prevalence are markedly increased in obese patients, numerous studies have documented an "obesity paradox" in which overweight and obese patients, defined by body mass index, percent body fat, or central obesity, demonstrate a better prognosis compared with lean or underweight HF patients. This may be related to the fact that overweight and mildly obese HF patients may be somewhat protected from cardiac cachexia.
2. There are no studies to support the idea that central obesity limits respiratory excursion.
3. There is no evidence to support the need to emphasize activity with this patient.
4. There is no evidence to support adjustment of medications for this patient.

What Should the Nurse Realize When Planning Care for a Patient