Final answer:
Heart failure causes congestion in the kidneys, leading to delayed excretion and accumulation of drugs in the body.
Step-by-step explanation:
The correct statement about how heart failure affects medications in the body is: c. Congestion in the kidneys caused by heart failure leads to delayed excretion and drug accumulation. In heart failure, the impaired pumping ability of the heart leads to poor circulation and fluid buildup. This congestion in the kidneys results in reduced kidney function, which can delay the excretion of drugs, leading to their accumulation in the body. The other options are incorrect; congestion generally decreases the efficiency of drug absorption and delivery due to impaired circulation, not increases it.