Which statement by the patient would the nurse evaluate as significant to the diagnosis of congestive heart failure (CHF)?
1. "I break out in a cold sweat when I eat a large meal.".
2. "I am sleepy after I eat lunch every day.".
3. "I have to prop myself up on three pillows to sleep at night, otherwise I can't breathe.".
4. "I feel better after I exercise.".
3
Rationale 1: Diaphoresis after eating is a significant finding but is not typically associated with CHF.
Rationale 2: Afternoon sleepiness is caused by a number of factors and does not imply the presence of CHF.
Rationale 3: Needing to prop oneself up with pillows in order to breathe describes orthopnea, which is consistent with CHF. CHF produces a volume excess, congestion in the lungs, and dyspnea when the patient attempts to lie down.
Rationale 4: Persons with CHF are generally exercise intolerant.
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