During an assessment, a client with left-sided congestive heart failure (CHF)and severe shortness of breath tells the nurse about not having enough money to purchase medications. What nursing diagnosis is of the greatest initial importance when planning care?
A)Excess Fluid Volume
B)Ineffective Health Management
C)Noncompliance
D)Activity Intolerance

Question

Quizplus · Accepted Answer

A)The client is experiencing acute shortness of breath because of the excess fluid. Excess Fluid Volume is the nursing diagnosis that is the priority at this time. Activity Intolerance will improve once the Excess Fluid Volume is addressed. Noncompliance or Ineffective Health Management related to the inability to purchase medications should be addressed after the client's physiological problems are resolved.
B)The client is experiencing acute shortness of breath because of the excess fluid. Excess Fluid Volume is the nursing diagnosis that is the priority at this time. Activity Intolerance will improve once the Excess Fluid Volume is addressed. Noncompliance or Ineffective Health Management related to the inability to purchase medications should be addressed after the client's physiological problems are resolved.
C)The client is experiencing acute shortness of breath because of the excess fluid. Excess Fluid Volume is the nursing diagnosis that is the priority at this time. Activity Intolerance will improve once the Excess Fluid Volume is addressed. Noncompliance or Ineffective Health Management related to the inability to purchase medications should be addressed after the client's physiological problems are resolved.
D)The client is experiencing acute shortness of breath because of the excess fluid. Excess Fluid Volume is the nursing diagnosis that is the priority at this time. Activity Intolerance will improve once the Excess Fluid Volume is addressed. Noncompliance or Ineffective Health Management related to the inability to purchase medications should be addressed after the client's physiological problems are resolved.

During an Assessment, a Client with Left-Sided Congestive Heart Failure