護理師為心衰竭病人提供出院指導。下列哪些說明正確？（選所有適合的）
A nurse is providing discharge teaching for a client with heart failure. Which instructions are correct? (Select all that apply.)
- AWeigh yourself daily in the morning✓ 正解每日早晨測量體重
- BReport weight gain of >3 lbs in a week✓ 正解報告一週內體重增加超過 3 磅
- CIncrease fluid intake to 3 liters per day將水分攝取量增加至每天 3 公升
- DLimit sodium intake✓ 正解限制鈉攝取
- ETake medications as prescribed✓ 正解依處方服藥
心衰竭病人出院衛教重點：A. 每日固定時間（晨間）量體重——監測液體滯留最敏感的指標；B. 一週體重增加 >3 lbs（或 24 小時 >2 lbs）為失代償紅旗，需立即聯繫醫療團隊；D. 限鈉（<2 g/day）以減少水鈉滯留；E. 遵醫囑服藥維持心功能穩定。錯誤：C. HF 病人需限制水分（通常 1.5-2 L/day），不應增加至 3 L。
Heart failure discharge teaching focuses on: A. Daily morning weights — the most sensitive indicator of fluid retention; B. Weight gain >3 lbs in a week (or >2 lbs in 24 hours) is a red flag requiring immediate contact with the care team; D. Sodium restriction (<2 g/day) reduces water/sodium retention; E. Medication adherence to maintain cardiac stability. Incorrect: C. HF clients require fluid restriction (typically 1.5-2 L/day), not 3 L.
美國有針對心衰竭病人的專門護理門診，追蹤體重變化更結構化；台灣目前也在積極推動心衰竭照護計畫。