The nurse is providing information to a client at a senior center regarding the manifestations of left- and right-sided heart failure. The nurse concludes that further teaching is necessary when the client states:
1. "I will feel dizzy if the right side of my heart begins to fail."
2. "My feet will be swollen with right-sided failure."
3. "I will need pillows when I sleep with left-sided failure."
4. "My appetite might decrease with right-sided failure."
Answer: 1
1. Due to low cardiac output, the client with left-sided failure will experience dizziness.
2. Right-sided failure causes congestion in the vascular system with swelling in the feet and ankles.
3. Clients with left-sided failure might have trouble breathing while sleeping flat, and might need several extra pillows to ease respirations.
4. Due to vascular congestion, the client with right-sided failure might experience anorexia.
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