An older adult patient with HF is being discharged home on an ACE inhibitor and a loop diuretic. The patients most recent vital signs prior to discharge include oxygen saturation of $93 \%$ on room air, heart rate of 81 beats per minute, and blood pressure of $94 / 59 \mathrm{~mm} \mathrm{Hg}$. When planning this patients subsequent care, what nursing diagnosis should be identified?

Question

Quizplus · Accepted Answer

The combination of low BP, diuretic use, and ACE inhibitor use constitute a risk for falls. There is no evidence, or heightened risk, of dysrhythmia. The patients medications create a risk for fluid deficit, not fluid excess. Hypoxia is a risk for all patients with HF, but this is not in evidence for this patient at this time.

An Older Adult Patient with HF Is Being Discharged Home 93%93 \%93%

An Older Adult Patient with HF Is Being Discharged Home $93 \%$