Which assessment finding would the nurse expect in a client with right-sided congestive heart failure (CHF) as opposed to left-sided failure?
1. Orthopnea
2. Pulmonary edema
3. Dyspnea
4. Peripheral edema
Correct Answer: 4
Rationale 1: Orthopnea can be caused by both types of heart failure.
Rationale 2: Pulmonary edema is caused by left-sided edema.
Rationale 3: Both kinds of heart failure can result in dyspnea.
Rationale 4: In right-sided HF, the blood backs up to the large veins, resulting in peripheral edema and engorgement of organs such as the liver.
Global Rationale: In right-sided HF, the blood backs up to the large veins, resulting in peripheral edema and engorgement of organs such as the liver. Orthopnea and dyspnea can be caused by both types of heart failure. Pulmonary edema is caused by left-sided edema.
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