The nurse is assessing an emergency department patient who was recently discharged following a myocardial infarction (MI). Which symptom(s) would the nurse observe in this patient with left ventricular systolic failure? (Select all that apply.)
a. Reports of recent weight loss
b. Complaints of peripheral edema
c. Diminished exercise tolerance
d. Shortness of breath with activity
e. Blood pressure elevation
ANS: C, D
Early clinical symptoms of left ventricular failure are decreased exercise tolerance and poor perfusion to peripheral tissues. Patients who develop left ventricular systolic failure as a result of MI have acute shortness of breath. Weight gain is more likely to be reported because of edema in diastolic failure. Patients who develop left ventricular systolic failure as a result of MI have shock with little peripheral edema and hypotension.
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