Reflecting upon the client's other symptoms and past history, the nurse determines the client likely has right-sided heart failure when the client:
1. Consumes 5% of meals and complains of nausea.
2. Admits to anxiety over learning the new medication regimen.
3. Has trouble concentrating on the conversation.
4. Is dyspneic with activity.
Consumes 5% of meals and complains of nausea.
Rationale: Poor appetite and complaints of nausea and vomiting correspond to right-sided heart failure. Dyspnea with activity is more commonly associated with left-sided heart failure. Anxiety over new medications and difficulty concentrating on the conversation are not likely related to heart failure, but could be symptoms of depression.
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