The nurse is caring for a client on the cardiac unit. Which change of condition may indicate potential increasing of right-side heart failure? Select all that apply
A) Edema changed from a 3+ to a 1+
B) Jugular vein distention
C) Increased dyspnea
D) One-pound weight loss
E) Increased palpitations
F) Increased weakness on ambulation
B, C, E, F
Feedback:
A change in assessment finding may indicate an increase in heart failure. Right-sided heart failure symptoms include jugular vein distention, increased dyspnea, increased palpitations, and an increased weakness on ambulation. Edema is a common sign of right-sided heart failure, but changing from a 3+ to 1+ is improvement in condition. Weight loss is also improvement in condition.
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