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    Ati lpn med surg cardiac proctored test

    A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings should the nurse expect?

    Explanation & Rationale

    A. Jugular distention: JVD is a sign of elevated systemic venous pressure (right-sided or biventricular failure), not a classic isolated left-sided finding. B. Dependent edema: More typical of right-sided or chronic biventricular failure; not the most prominent acute left-sided sign. C. Nocturnal polyuria: In older adults with left-sided HF, recumbency mobilizes peripheral fluid into the circulation causing increased renal perfusion and nighttime diuresis (nocturnal polyuria/nocturia). D. Frothy sputum: Frothy (often pink-tinged) sputum can occur with pulmonary edema from left-sided HF, so it is also an expected left-sided sign but nocturnal polyuria is a classic older-adult presentation.

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