A client diagnosed with heart failure reports shortness of breath only when climbing stairs or playing with grandchildren. According to the NYHA classification, the nurse documents which stage of heart failure for this client?
1. Stage B heart failure
2. Severe heart failure
3. Stage 2 heart failure
4. Mild heart failure
Correct Answer: 3
Rationale 1: Dyspnea with moderate-to-heavy exertion is not classified as stage B heart failure. The letter classification is used by the AHA/ACC.
Rationale 2: Dyspnea with moderate-to-heavy exertion is not classified as severe heart failure.
Rationale 3: Dyspnea with moderate-to-heavy exertion is classified as stage 2 heart failure.
Rationale 4: Dyspnea with moderate-to-heavy exertion is not classified as mild heart failure.
Global Rationale: Dyspnea with moderate-to-heavy exertion is classified as stage 2 heart failure. Dyspnea with moderate-to-heavy exertion is not classified as stage B heart failure. The letter classification is used by the AHA/ACC.
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