A patient with congestive heart failure demonstrates dyspnea during ambulation with an ejection fraction of less than 55 percent. What intervention is most appropriate for this patient?

The choice of education on energy conservation for a patient with congestive heart failure and dyspnea during ambulation is particularly appropriate due to the nature of the condition and its impact on the patient's ability to perform daily activities. In congestive heart failure, the heart's reduced ejection fraction (less than 55 percent in this case) means that the heart is not pumping efficiently, leading to inadequate oxygen delivery to the body's tissues and potential fluid overload. Normal activities can become taxing and lead to increased shortness of breath, making it crucial for the patient to manage their energy effectively.

Energy conservation techniques can help the patient limit exertion during tasks, prioritize activities, and rest as necessary, which can reduce the strain on the heart and decrease episodes of dyspnea. These strategies may include planning ahead, grouping tasks to minimize exertion, and taking breaks during activities.

While other interventions, like instruction in pursed-lip breathing or diaphragmatic breathing, can be beneficial for managing breathlessness, they do not directly address the fundamental need for energy conservation in patients who experience significant fatigue or shortness of breath during physical activities. Progressive resistive exercises may not be suitable given the patient’s current symptoms and cardiac function, as they can lead to increased physical