A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

A. High-pitched stridor suggests airway obstruction, not heart failure. B. Reduced right-sided breath sounds can indicate pleural effusion or pulmonary congestion, common in clients with heart failure. C. Intercostal retractions indicate respiratory distress, usually associated with conditions like asthma or pneumonia. D. Paradoxical chest movement is a sign of flail chest, not heart failure.