A patient admitted with heart failure is able to initiate brushing her teeth and combing her hair but unable to finish these activities or wash her body due to dyspnea and fatigue
Upon ambulation to the bathroom, the patient also experiences dyspnea, fatigue, and chest pain. Based upon this information, what New York Heart Association Classification will be assigned to this patient?
A) I
B) II
C) III
D) IV
Ans: C
Feedback: This patient's symptoms indicate characteristics of classification III by the New York Heart Association Classification of Heart Failure. Classification III is characterized by marked limitation on activities of daily living. The patient is comfortable at rest, but less than ordinary activities will cause symptoms. For this particular patient, combing the hair and brushing her teeth initially did not evoke symptoms, but with prolonged activity the patient experienced the onset of symptoms. Ordinary physical activity does not cause undue fatigue, dyspnea, palpitations, or chest pain with Classification I. Classification II is characterized by slight limitations in ADLs, but symptoms present with increased physical activity. Classification IV is characterized by cardiac insufficiency at rest.
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