Question

An older client is admitted in respiratory distress secondary to heart failure (HF), coronary artery disease (CAD), hypertension (HTN), and atrial fibrillation. Which nursing problem should the nurse include in the client's plan of care? Select all that apply.

a. Fluid volume excess
b. Decreased cardiac output
c. Altered peripheral tissue perfusion
d. Fluid volume deficit
e. Fatigue

Answer 1

For a patient admitted with respiratory distress secondary to heart failure, coronary artery disease, hypertension, and atrial fibrillation, the nursing problems to include in the care plan are fluid volume excess, decreased cardiac output, altered peripheral tissue perfusion, and fatigue.

Step-by-step explanation:

The nursing problems to include in the client's plan of care who is admitted with respiratory distress secondary to heart failure (HF), coronary artery disease (CAD), hypertension (HTN), and atrial fibrillation are:

• Fluid volume excess
• Decreased cardiac output
• Altered peripheral tissue perfusion
• Fluid volume deficit
• Fatigue

Given the patient's conditions, fluid volume excess is likely due to the inability of the heart to pump effectively, leading to fluid backups, particularly in pulmonary edema. Decreased cardiac output is a direct consequence of heart failure and CAD affecting the heart's ability to pump blood. Altered peripheral tissue perfusion results from insufficient blood flow reaching the extremities, which can occur in heart failure and CAD. Fatigue is also a common symptom in patients with heart failure, resulting from decreased cardiac output and impaired oxygen delivery to tissues.