The nurse is caring for an 80-year-old client with the medical diagnosis of heart failure. The client has oedema, orthopnoea, and confusion. Which nursing diagnosis is most appropriate for this client?

Question

Quizplus · Accepted Answer

The presenting symptoms of oedema and orthopnoea suggest an excess of fluid volume rather than a deficit. The client's confusion is likely caused by hypoxia due to decreased cardiac output and pulmonary congestion. Therefore, Excess Fluid Volume related to retention of fluids as evidenced by oedema and orthopnoea is the most appropriate nursing diagnosis.

The Nurse Is Caring for an 80-Year-Old Client with the Medical