A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?

A. Weight gain More related to right-sided heart failure from fluid retention. B. Breathlessness Classic symptom of left-sided heart failure due to pulmonary congestion. C. Anorexia More typical of right-sided heart failure due to GI tract congestion. D. Distended abdomen Reflects ascites and right-sided heart failure.