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Nurse Mike from Simple Nursing begins the lecture on heart failure by emphasizing the importance of recognizing heavy fluid accumulation in the lungs and body due to the heart's failure to pump blood forward. He explains that right-sided heart failure causes peripheral edema, while left-sided heart failure causes pulmonary edema. Patients can drown in their own fluid, so any weight gain exceeding 3 pounds in one day or 5 pounds in a week is concerning. Remember to access free quizzes and study guides on their website during the video.