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A nurse is assessing a client for manifestations of right-sided heart failure. Which of the following findings should the nurse expect?

-Jugular vein distention
-Fatigue
-Angina
-Hacking cough

1 Answer

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Final answer:

A nurse should expect to find jugular vein distention, fatigue, and possibly a hacking cough in a client with right-sided heart failure. These symptoms arise due to increased venous pressure and reduced cardiac efficiency.

Step-by-step explanation:

A nurse assessing a client for manifestations of right-sided heart failure should expect to observe findings such as jugular vein distention, fatigue, and potentially a hacking cough. Jugular vein distention is a classic sign of right-sided heart failure due to the increased pressure in the vena cavae, resulting in the visibly enlarged veins in the neck area. Fatigue arises from the reduced efficiency of the heart to pump blood which affects the energy levels of the body.

A hacking cough could be present due to fluid build-up in the body, though it is more commonly associated with left-sided heart failure. Other symptoms indicative of right-sided heart failure might include edema, particularly in the lower extremities such as the feet and ankles, as the failure can cause fluid to accumulate in these areas. While concerning symptoms like angina may occur, they are more directly related to left-sided heart failure or other cardiac conditions.

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