An LPN is caring for a resident with chronic heart failure. Which finding best indicates the heart's reduced ability to pump blood effectively to meet the body's metabolic demands?
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✓ Correct answer: D. Edema in the feet and anklesDecreased cardiac output leads to compensatory mechanisms including fluid retention by the kidneys, resulting in dependent edema (swelling in feet and ankles). This is a direct result of the heart's inability to pump blood efficiently, causing blood to back up in the venous system.
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