Difficulty: Medium
Average Score: 93%
Simulated
A nurse is caring for a client with right sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)
Correct answer
A,B,C,E,F
Rationale
A: Unable to lie flat due to orthopnea. B: Fatigue worsens with heart failure. C: Distended neck veins indicate increased venous pressure. E: Weight gain of 2 pounds in 24 hours indicates fluid retention. F: Worsening edema is a sign of heart failure.