Certified Hospice and Palliative Assistant (CHPNA) Practice Test

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What are common symptoms associated with right-sided heart failure?

  1. Chest pain and palpitations

  2. Weight gain and dependent peripheral edema

  3. Sudden shortness of breath

  4. Persistent cough and wheezing

The correct answer is: Weight gain and dependent peripheral edema

Weight gain and dependent peripheral edema are indeed common symptoms associated with right-sided heart failure. Right-sided heart failure occurs when the right ventricle is unable to effectively pump blood to the lungs, which can lead to a backlog of blood in the body's venous system. As a consequence, fluid can accumulate in various parts of the body, particularly in the lower extremities, resulting in dependent edema. This edema is most pronounced in the legs and feet, especially when a person is standing or sitting for prolonged periods. Additionally, the weight gain seen in patients can be attributed to fluid retention, which is a hallmark of heart failure. The combination of these symptoms signifies impaired circulation and fluid balance, which are critical indicators of right-sided heart failure. Understanding these manifestations helps in effectively identifying and managing the condition in patients.