A patient with acute congestive heart failure has jugular vein distention, crackles bilaterally, and dyspnea.Which nursing diagnosis should have the highest priority?

Question

Quizplus · Accepted Answer

The most important issue in this case is fluid volume excess, which can lead to pulmonary edema and further exacerbate the patient's symptoms. Inadequate mobility may also be a concern, but it is secondary to fluid volume excess in this case. Anxiety and inadequate coping may be issues but they do not require immediate attention in this case.

A Patient with Acute Congestive Heart Failure Has Jugular Vein