A patient with chest pain and shortness of breath informs you that the last time he had a heart attack, he went into heart failure. When performing your secondary assessment, which one of the following signs or symptoms is most indicative that the patient is in heart failure again?

A(n) ______________fire alarm system provides the status of the initiating devices that comprise the system

a. conventional b. addressable c. analog d. digital

Sometimes, cancer cells break away from the original tumor and travel to other areas of the body where they keep growing and can go on to form new tumors. This process is known as ________.

A. metaphysis B. metamorphosis C. metabolism D. metastasis