What should a nurse educate a client on regarding symptoms of worsening heart failure?

When educating a client on the symptoms of worsening heart failure, swelling in the abdomen is particularly relevant because it is a sign of fluid retention, which is a common issue in heart failure. This swelling, or ascites, occurs due to increased pressure in the blood vessels caused by the heart's inability to pump effectively. As the heart struggles to maintain adequate circulation, fluid can accumulate in the abdomen, leading to discomfort and other complications.

Patients experiencing worsening heart failure may notice changes that indicate their condition is deteriorating. Understanding these signs allows for prompt medical attention and intervention, which can help prevent further complications. By being aware of swelling, clients can communicate changes in their condition to healthcare providers, leading to timely adjustments in treatment.

In contrast, increased appetite, decreased urination, and improved energy levels do not align with symptoms typically associated with worsening heart failure. In fact, patients often experience a decreased appetite due to gastrointestinal congestion, may have decreased urination due to kidney impairment or fluid overload, and often report fatigue rather than improved energy levels. Educating clients on these key symptoms empowers them to manage their health effectively.