During a Visit to an Elderly Patient with Chronic Heart

During a visit to an elderly patient with chronic heart failure, the home care nurse finds that the patient has severe dependent edema and that the legs appear to be weeping serous fluid. Based on these data, the best nursing diagnosis for the patient is

A) activity intolerance related to venous congestion.
B) disturbed body image related to massive leg swelling.
C) impaired skin integrity related to peripheral edema.
D) impaired gas exchange related to chronic heart failure.

Correct Answer:

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