A 80-year-old patient is admitted to the hospital with dehyd…

A 80-year-old patient is admitted to the hospital with dehydration and a possible urinary tract infection. The patient is given 750 mL normal saline via IV. The patient begins coughing and asks for the head of the bed to be raised so they can breathe better. The nurse assesses the patient and notices jugular vein distention and an increased respiratory rate. Based on this assessment data, the nurse interprets the findings as: 

The nurse is caring for a patient with congestive heart fail…

The nurse is caring for a patient with congestive heart failure. On assessment, the nurse notes that the patient has dyspnea; upon auscultation, the nurse hears crackles in the patient’s lungs. The nurse suspects fluid volume excess. What additional sign would the nurse expect to note if the patient was experiencing fluid volume excess?