The nurse is reinforcing teaching for a patient with chronic heart failure. Which of the following weight measurements should the nurse ask the patient to perform to monitor fluid status at home?

Choice A reason: While hostility and sarcasm can be challenging, they are not immediate safety concerns compared to the physical activity that could lead to exhaustion or injury.

Choice B reason: Giving away personal items and money can be concerning for the client's financial well-being, but it does not pose an immediate risk to their physical health.

Choice C reason: Pacing in the hallway during the day and most of the night could indicate a high level of psychomotor agitation associated with mania, which can lead to physical exhaustion or injury and is therefore a priority.

Choice D reason: Flight of ideas is a symptom of mania that, while important to note, does not pose an immediate risk to the client's safety like excessive physical activity does.

Choice A reason: Gluten is not typically restricted for patients taking MAOIs unless they have a separate condition that requires this diet.

Choice B reason: Extra salt does not interact with MAOIs, so it is not necessary to avoid it unless the patient has other health concerns that require a low-sodium diet.

Choice C reason: Processed lunch meats are high in tyramine, which can cause dangerous interactions with MAOIs, leading to hypertensive crises.

Choice D reason: While caffeine may need to be limited, it is not as critical as avoiding high-tyramine foods like processed lunch meats when taking MAOIs.