During a Visit to a Client with Chronic Heart Failure

During a visit to a client with chronic heart failure, the home care nurse finds that the client has ankle edema, a 2 kg weight gain, and complains of "feeling too tired to do anything." Based on these data, which of the following is the best nursing diagnosisfor the client?

A) Activity intolerance related to physical deconditioning
B) Disturbed body image related to alteration in self-perception
C) Impaired skin integrity related to alteration in fluid volume (peripheral edema)
D) Ineffective breathing pattern related to respiratory muscle fatigue