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ATI Heart Failure Exam

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ATI Heart Failure 1. A nurse is assessing a client who has left-sided heart failure with decreased cardiac output. Which of the following manifestations should the nurse expect? Flushing of the skin on exertion Nocturia at night Warm lower extremities Respiratory rate of 16/min Flushing of the skin on exertion The client who has left-sided heart failure with decreased cardiac output will appear pale in color on exertion due to poor tissue perfusion. Nocturia at night The client who has left-sided heart failure with decreased cardiac output can have oliguria during the day and nocturia at night due to poor tissue perfusion to the kidneys. Warm lower extremities The client who has left-sided heart failure with decreased cardiac output will have cool extremities due to poor tissue perfusion. Respiratory rate of 16/min The client who has left-sided heart failure with decreased cardiac output will have tachypnea due to intra-alveolar fluid causing engorgement of pulmonary vessels. 2. A nurse is assessing a client who is restricted to bedrest for manifestations of rightsided heart failure. Which of the following findings should the nurse expect? Weak peripheral pulses Angina Sacrum edema Crackles in the lungs Weak peripheral pulses A client who has left-sided heart failure will have manifestations of weak peripheral pulses due to decreased cardiac output. Angina

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