The nurse would determine that which of the following clients has the greatest risk of developing heart failure?
1. A 50-year-old African American female who smokes
2. A 69-year-old African American male with hypertension
3. A 75-year-old Caucasian male who is overweight
4. A 52-year-old Caucasian female with asthma
2. A 69-year-old African American male with hypertension
Rationale:
Age, race, and hypertension lead to an increased risk for developing heart failure. Race and smoking are risk factors, but being female and younger decreases the overall risk. Age and obesity are risk factors, but not as much as age, being African American, and having hypertension. Asthma is not considered a significant risk factor in the development of heart failure.
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