The nurse is caring for a client with congestive heart failure (CHF)who frequently wakes during the night frightened and short of breath. Based on this data, what is the client experiencing?
A)Cardiomyopathy
B)Paroxysmal nocturnal dyspnea
C)High-output failure
D)Multisystem heart failure

Question

Quizplus · Accepted Answer

A)Paroxysmal nocturnal dyspnea occurs when edema fluid that has accumulated during the day is reabsorbed into the circulation at night. This causes fluid overload and pulmonary congestion. The client awakens at night short of breath and frightened. The client is not experiencing cardiomyopathy, high-output failure, or multisystem heart failure.
B)Paroxysmal nocturnal dyspnea occurs when edema fluid that has accumulated during the day is reabsorbed into the circulation at night. This causes fluid overload and pulmonary congestion. The client awakens at night short of breath and frightened. The client is not experiencing cardiomyopathy, high-output failure, or multisystem heart failure.
C)Paroxysmal nocturnal dyspnea occurs when edema fluid that has accumulated during the day is reabsorbed into the circulation at night. This causes fluid overload and pulmonary congestion. The client awakens at night short of breath and frightened. The client is not experiencing cardiomyopathy, high-output failure, or multisystem heart failure.
D)Paroxysmal nocturnal dyspnea occurs when edema fluid that has accumulated during the day is reabsorbed into the circulation at night. This causes fluid overload and pulmonary congestion. The client awakens at night short of breath and frightened. The client is not experiencing cardiomyopathy, high-output failure, or multisystem heart failure.

The Nurse Is Caring for a Client with Congestive Heart