A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure.Which of these findings is the nurse most likely to observe in this situation?

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Heart failure often presents with increased respiratory rate,shortness of breath on exertion,orthopnea,paroxysmal nocturnal dyspnea,nocturia,ankle edema,and pallor in light-skinned individuals.A patient with rasping cough,thick mucoid sputum,and wheezing may have bronchitis.Productive cough,dyspnea,weight loss,and dyspnea are seen with tuberculosis;fever,dry nonproductive cough,and diminished breath sounds may indicate Pneumocystis jiroveci (P.carinii)pneumonia.See Table 18-8.

A 70-Year-Old Patient Is Being Seen in the Clinic for Severe