A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?

A. A dry, hacking cough is a classic sign of left-sided heart failure, where blood backs up into the pulmonary circulation, causing pulmonary congestion and irritation of airway receptors. In isolated RV failure, pulmonary symptoms are usually minimal unless left-sided failure is also present (biventricular failure). B. Crackles (rales) result from pulmonary edema, which is a hallmark of left-sided heart failure. In RV failure, the lungs are generally not congested, so crackles are not expected unless there is concomitant left ventricular dysfunction. C. RV failure leads to increased venous pressure in the systemic circulation, causing congestion in the liver (hepatomegaly). This can manifest as right upper quadrant fullness or tenderness, impaired liver function, and in chronic cases, nutmeg liver from long-standing congestion. Other systemic signs include jugular vein distension, peripheral edema (especially in the lower extremities), ascites, and weight gain due to fluid retention. D. While dizziness can occur in any form of heart failure due to decreased cardiac output, it is nonspecific and is not considered a primary or hallmark sign of right-sided heart failure.