When documenting findings for a client with right-sided heart failure, which symptom should be included?

In the context of right-sided heart failure, including swollen lower extremities in documentation is crucial. This symptom, also known as peripheral edema, occurs because right-sided heart failure leads to inadequate blood flow from the heart to the lungs, causing fluid to back up in the body's tissues. As the heart struggles to pump effectively, pressure in the veins increases, prompting fluid leakage into surrounding tissue, which manifests as swelling, particularly in the legs and ankles.

Recognizing and documenting this symptom is vital not only for monitoring the patient's condition but also for assessing the effectiveness of treatment interventions. Other symptoms associated with right-sided heart failure may include jugular vein distention and ascites, but the presence of swollen lower extremities is a common and easily observable indicator that highlights the impact of fluid retention in this condition.