Certified Hospice and Palliative Assistant (CHPNA) Practice Test

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Which symptom is commonly associated with right-sided heart failure?

  1. Increased physical stamina

  2. Dyspnea upon exertion

  3. Anorexia and nausea

  4. Joint pain

The correct answer is: Anorexia and nausea

The symptom commonly associated with right-sided heart failure is anorexia and nausea. In conditions where the right side of the heart fails, blood can back up into the systemic circulation, causing congestion in the organs. This congestion can lead to gastrointestinal symptoms, such as loss of appetite (anorexia) and feelings of nausea, as the liver and other abdominal organs become engorged with blood. The other options do not typically correlate with right-sided heart failure. Increased physical stamina is generally opposed to the expected outcomes of heart failure, where a decrease in exercise tolerance is more common due to fatigue and weakness. Dyspnea upon exertion is more characteristic of left-sided heart failure, as it is primarily associated with fluid accumulation in the lungs, leading to shortness of breath. Joint pain is not a symptom associated with heart failure, but rather it is often indicative of other conditions such as arthritis.