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During a Visit to a 72-Year-Old with Chronic Heart Failure

Question 4

Multiple Choice

During a visit to a 72-year-old with chronic heart failure, the home care nurse finds that the patient has ankle edema, a 2-kg weight gain, and complains of "feeling too tired to do anything." Based on these data, the best nursing diagnosis for the patient is


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

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