In managing congestive heart failure, which of the following is a recommended intervention?

Raising the head of the bed (HOB) is a recommended intervention in managing congestive heart failure (CHF). This positioning helps alleviate shortness of breath and improves lung expansion by reducing pressure on the diaphragm. When patients are in a more upright position, it can enhance their ability to breathe more comfortably and can help improve venous return, thereby potentially reducing the workload on the heart.

In patients with CHF, fluid accumulation can lead to pulmonary congestion and difficulty breathing, particularly when lying flat. Elevating the head of the bed can help mitigate these symptoms, making it a standard practice in the management of heart failure. This intervention is often used in clinical settings to enhance patient comfort and support optimal oxygenation.

Increasing sodium intake, placing patients in a supine position, and encouraging high activity levels are not advisable in the management of CHF for various reasons. Sodium restriction is typically recommended to help manage fluid retention. The supine position can worsen symptoms by increasing venous return and pulmonary congestion. High activity levels can also be contraindicated, especially during acute exacerbations, as they may strain the heart further.