The nurse is conducting an examination of a client with heart failure who takes antihypertensives and diuretics. The client complains of fatigue and an inability to finish tasks. The nurse determines that:
1. The client should be hospitalized.
2. The medication needs adjustment.
3. The client has not been exercising.
4. The client is experiencing the expected result of the disease.
4. The client is experiencing the expected result of the disease.
Rationale:
Heart failure and the drugs prescribed for it cause the client to be fatigued. While this would be considered abnormal in most clients, it is expected in the client with heart failure. The client does not need to be hospitalized for fatigue. Fatigue is not an indication that the medication needs adjusting. A lack of exercise would not cause the client to experience fatigue severe enough to prevent the completion of tasks.
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