A 60-yeаr-оld pаtient with а histоry оf chronic kidney disease (CKD) is admitted with symptoms of fluid volume overload. The patient has been experiencing bilateral ankle swelling over the past 3 days and reports increased shortness of breath when lying flat. Upon physical examination, the nurse notes pitting edema in the lower extremities, and the patient’s weight has increased by 3.5 kg (7.7 lbs) since the previous week. The nurse also observes crackles in the lungs and distended neck veins. Which of the following clinical manifestations is most directly related to the patient’s fluid volume overload?