During a Visit to a 78-Year-Old with Chronic Heart Failure,the

question 20

Multiple Choice

During a visit to a 78-year-old with chronic heart failure,the home care nurse finds that the patient has ankle edema,a 2-kg weight gain over the past 2 days,and complains of "feeling too tired to get out of bed." Based on these data,the best nursing diagnosis for the patient is

• A) activity intolerance related to fatigue.
• B) disturbed body image related to weight gain.
• C) impaired skin integrity related to ankle edema.
• D) impaired gas exchange related to dyspnea on exertion.

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