A Nurse Will Be Providing Care for a Female Patient

Multiple Choice

A nurse will be providing care for a female patient who has a diagnosis of heart failure that has been characterized as being primarily right sided. Which of the following statements best describes the presentation that the nurse should anticipate? The client

A) has a distended bladder, facial edema, and nighttime difficulty breathing.
B) complains of dyspnea and has adventitious breath sounds on auscultation (listening) .
C) has pitting edema to the ankles and feet bilaterally, decreased activity tolerance, and occasional upper right quadrant pain.
D) has cyanotic lips and extremities, low urine output, and low blood pressure.