Difficulty: Medium
Average Score: 76%
Simulated
A nurse is assessing a client who has a new diagnosis of heart failure. Which of the following findings should the nurse expect?
Correct answer
D
Rationale
The correct answer is D (All of the above). In heart failure, the heart is unable to pump effectively, leading to fluid backup in the body. Peripheral edema (A) occurs due to fluid retention, crackles in the lungs (B) are heard due to pulmonary congestion, and shortness of breath (C) results from fluid accumulation in the lungs. Therefore, all these findings are expected in a client with heart failure. The other choices are incorrect as they do not encompass the comprehensive manifestations of heart failure.