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    Ati lpn med surg proctored exam (perfusion)

    A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect?

    Explanation & Rationale

    A. Shortness of breath while lying down: Orthopnea (dyspnea when supine) is a classic sign of left-sided heart failure due to pulmonary congestion. B. Right upper quadrant pain: RUQ pain from liver congestion is more typical of right-sided heart failure. C. Jugular venous distention: JVD is a sign of elevated systemic venous pressure - more characteristic of right-sided heart failure. D. Pitting edema of the lower legs: Peripheral pitting edema is more commonly seen with right-sided heart failure (or biventricular failure), not isolated left failure.

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