In a client with right-sided heart failure, which assessment findings are key features?

In the context of right-sided heart failure, several assessment findings are commonly observed that reflect the body's response to increased pressure in the venous system and the resulting fluid overload.

When right-sided heart failure occurs, the heart struggles to pump blood effectively to the lungs. This leads to a backlog of blood in the systemic circulation, which can cause various manifestations. One key feature of right-sided heart failure is fluid accumulation in the body, particularly in the abdomen (known as ascites) and in the peripheral tissues, which results in distended abdominal findings. This is due to fluid leaking from capillaries into the abdominal cavity, creating a sense of fullness and discomfort.

Additionally, collapsed neck veins would not align with the typical findings of right-sided heart failure. Instead, distended neck veins are more common, as the increased venous pressure causes the jugular veins to be engorged. Nighttime urination, or nocturia, can also occur but is more closely associated with fluid retention and the body's attempt to manage fluid balance. Patients might experience increased urination at night as excess fluid shifts back to the bloodstream when lying down, which can then be processed by the kidneys during sleep.

In summary, the correct answer encapsulates the spectrum of effects seen