The nurse is caring for a client with heart failure. Which assessment findings indicate the client is currently experiencing stage 2 heart failure?
Standard Text: Select all that apply.
1. Fatigue with physical activity
2. Palpitations with physical activity
3. No symptoms with physical activity
4. Dyspnea with physical activity
5. Angina at rest
Correct Answer: 1,2,4
Rationale 1: Clients experiencing stage 2 heart failure often experience fatigue.
Rationale 2: Clients experiencing stage 2 heart failure often experience palpitations.
Rationale 3: Clients experiencing no symptoms with physical activity are classified as having stage 1 heart failure.
Rationale 4: Clients experiencing stage 2 heart failure often experience dyspnea.
Rationale 5: Clients experiencing stage 4 heart failure are unable to perform physical activity and have symptoms at rest.
Global Rationale: Clients experiencing stage 2 heart failure often experience fatigue, palpitations, and dyspnea. Clients experiencing no symptoms with physical activity are classified as having stage 1 heart failure. Clients experiencing stage 4 heart failure are unable to perform physical activity and have symptoms at rest.
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