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What signs, symptoms would the nurse expect to assess in an elderly client diagnosed with acute decompensated heart failure?

Acute decompensated heart failure (ADHF) is a leading cause of hospitalization, with studies noting high rates of re-hospitalization or death within six months of an initial event. A nurse assessing an elderly client with acute decompensated heart failure must be vigilant for both classic and atypical signs, as their presentation can differ significantly from younger populations.