An elderly female client has a left ventricular ejection fraction (LVEF) of 60%. She complains of activity intolerance, shortness of air, and peripheral edema
The nurse knows that this client's diagnosis differs from that of another client who has systolic dysfunction because this client's: 1. LVEF is within normal limits.
2. LVEF is low.
3. Symptoms are unique to diastolic dysfunction.
4. Symptoms are unique to systolic dysfunction.
LVEF is within normal limits.
Rationale: Diastolic dysfunction is diagnosed based upon a client's LVEF being normal and the client exhibiting clinical symptoms of heart failure. This client is an elderly female, which is typical of diastolic dysfunction. In systolic dysfunction, the LVEF is low, with the client exhibiting clinical symptoms of heart failure. Systolic and diastolic dysfunctions tend to have similar symptoms.
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