Mrs.Hislop,80 years old,has a diagnosis of heart failure.She has pitting edema,orthopnea,and confusion.Which nursing diagnosis is most appropriate for this client?

Question

Quizplus · Accepted Answer

The client's symptoms of pitting edema, orthopnea, and confusion are all indicative of excess fluid volume, which is a common complication of heart failure. Therefore, the nursing diagnosis of "Excess fluid volume related to retention of fluids as evidenced by edema and orthopnea" is most appropriate for this client. Option A is incorrect because it wrongly suggests that confusion is the root cause of heart failure, and option B is incorrect because it suggests fluid volume deficit, which does not align with the client's symptoms. Option D mentions hyperosmolar fluid imbalance, which is not directly related to heart failure.

MrsHislop,80 Years Old,has a Diagnosis of Heart Failure