امرأة عمرها ٧٢ سنة دخلت بنوبة فشل قلب، وتحسنت بعد مدرات البول ونزل وزنها ٤ كغ. وزنها عند الخروج ٦٨ كغ، وضغطها ١١٨/٧٠. الممرض يعلمها خطة المراقبة الذاتية في البيت. متى يجب أن تتصل بالعيادة حسب التعليم المعتاد؟

A 72-year-old woman admitted with decompensated heart failure improved with diuretics and lost 4 kg. Discharge weight is 68 kg and BP 118/70. The nurse teaches her a home self-monitoring plan. When should she contact the clinic according to usual teaching?

1. If his weight rises 3 kg over a month without symptoms
2. If his weight rises 1–1.5 kg in a day or 2 kg in a week
3. If he needs two pillows to sleep, as he has for a year
4. If he loses half a kilogram after his diuretic dose

Answer: B) If his weight rises 1–1.5 kg in a day or 2 kg in a week. Rapid weight gain (about 1–1.5 kg in a day or 2 kg in a week, per the team’s plan) means fluid retention before symptoms appear. Stable two-pillow orthopnoea is not a new change.