The nurse is examining a patient who she suspects is having right-sided heart failure.Which finding would most strongly support her suspicion?

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Edema results from fluid in tissues.Inadequate venous return causes edema in the sacrum if the patient is confined to bed,or in the feet and ankles if sitting.
Unilateral edema of the affected leg is the most common physical finding of deep vein thrombosis,although half of all DVT patients may present with no obvious signs.Normal veins are flat when the patient is sitting,and pulsations become evident as you lower the patient's head.A height of pulsation greater than 2.5 cm indicates fluid overload or right-sided heart failure.Capillary refill is measured in seconds; less than 2 seconds is brisk,and greater than 4 seconds is sluggish.

The Nurse Is Examining a Patient Who She Suspects Is