Of all the assessments the nurse has made on the new patient, those that may indicate heart failure are: (Select all that apply.)
a. flushed skin.
b. jugular distention.
c. weight gain but eating very little.
d. diminished pedal pulses.
e. wearing loose house shoes rather than street shoes.
B, C, D, E
All options with the exception of flushing are possible clues to congestive heart failure. Jugular distention, weight gain with little intake, diminished pedal pulses, and wearing house shoes (be-cause of swelling) are all related to edema related to right-sided heart failure.
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