What physical symptom might indicate worsening heart failure in an older adult client?

The presence of edema in the lower extremities is a key physical symptom that can indicate worsening heart failure in an older adult client. Heart failure occurs when the heart is unable to pump blood effectively, leading to a backup of fluid in the body. This condition often results in swelling, particularly in the legs and feet, due to fluid accumulation in the tissues, a phenomenon known as peripheral edema.

As heart failure progresses, patients may experience increased levels of edema as their heart's pumping efficiency declines, leading to further fluid retention. Monitoring for symptoms like lower extremity edema is crucial in managing heart failure, as it can help evaluate the effectiveness of treatment plans and inform necessary adjustments to care.

In contrast, elevated energy levels and increased appetite are generally not associated with worsening heart failure; instead, individuals may experience fatigue and reduced appetite as the condition progresses. Weight loss could occur in some cases but is not a typical indicator of worsening heart failure, as many patients tend to retain fluid, leading to weight gain rather than loss.