An Older Adult Patient with HF Is Being Discharged Home $93 \%$

Multiple Choice

An older adult patient with HF is being discharged home on an ACE inhibitor and a loop diuretic. The patients most recent vital signs prior to discharge include oxygen saturation of $93 \%$ on room air, heart rate of 81 beats per minute, and blood pressure of $94 / 59 \mathrm{~mm} \mathrm{Hg}$ . When planning this patients subsequent care, what nursing diagnosis should be identified?

A) Risk for ineffective tissue perfusion related to dysrhythmia
B) Risk for fluid volume excess related to medication regimen
C) Risk for ineffective breathing pattern related to hypoxia
D) Risk for falls related to hypotension