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

Question 16

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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