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

Question

Quizplus · Accepted Answer

The client's symptoms of edema and orthopnea suggest an excess fluid volume, not a fluid volume deficit. The confusion is likely due to cerebral hypoxia from the heart failure, rather than the edema. Therefore, the most appropriate nursing diagnosis for this client is excess fluid volume related to retention of fluids, as evidenced by edema and orthopnea.

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