The nurse is caring for a patient with heart failure. What should the nurse expect when assessing this patient?

Question

Quizplus · Accepted Answer

When assessing a patient with heart failure, the nurse should expect to hear an S3 sound and see distended neck veins, as these are signs of elevated fluid volume in the heart and blood vessels. S1 and S2 sounds may still be present, but may be softer or harder to hear depending on the severity of heart failure. S4 sounds and flat neck veins are not typically associated with heart failure.

The Nurse Is Caring for a Patient with Heart Failure