A nurse assesses a client in an outpatient clinic. Which statement alerts the nurse to the possibility of left-sided heart failure?
a. "I have been drinking more water than usual."
b. "I am awakened by the need to urinate at night."
c. "I must stop halfway up the stairs to catch my breath."
d. "I have experienced blurred vision on several occasions."
ANS: C
Clients with left-sided heart failure report weakness or fatigue while performing normal activities of daily living, as well as difficulty breathing, or "catching their breath." This occurs as fluid moves into the alveoli. Nocturia is often seen with right-sided heart failure. Thirst and blurred vision are not related to heart failure.
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