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 indicate excess fluid volume, and their medical diagnosis of heart failure further supports this. The confusion may be related to a decrease in oxygen to the brain from the heart failure, and is not indicative of a fluid deficit. Therefore, the most appropriate nursing diagnosis 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