1. As the RN caring for a client with heart failure, how would you evaluate the client’s physical assessment findings to determine if the client was experiencing left-sided heart failure, right-sided heart failure, or bi-ventricular failure? Right sided heart failure may be seen in the patient with symptoms of fatigue and gastrointestinal complaints. The patient would present with ascites, dependent and pitting edema, distended jugular veins, and spleen and liver enlargement. Left sided heart failure may be seen in the patient that presents with symptoms of confusion, restlessness, fatigue, orthopnea, exertional dyspnea, tachypnea, tachycardia, cyanosis, and pulmonary congestion. Biventricular heart failure may cause a patient to exhibit symptoms of dyspnea and edema, as both sides of the heart are affected. [ CITATION Hin18 \l 1033 ] 2. Heart failure is a chronic condition and client education is an essential component of quality, client-centered care. Formulate an interactive teaching plan, prioritizing the three most important topics for the client being discharged with heart failure. How will the RN evaluate the effectiveness of these medications? Looking at the concept map, what would your teachings be for this patient? - (Sample Answer Synopsis) - Heart failure is a serious condition that requires ongoing education and self-management. As a nurse, you can help your client learn how to cope with their condition and prevent complications. Here are some possible topics and strategies for your teaching plan: - Medications: Explain the purpose, dosage, frequency, and side effects of each medication that your client is prescribed. Emphasize the importance of taking them as