Multiple Choice
While assessing a patient with heart failure, the nurse notes that the patient has jugular venous distension (JVD) when lying flat in bed. The nurse's next action will be to
A) have the patient perform the Valsalva maneuver and observe the jugular veins.
B) palpate the jugular veins and compare the volume and pressure on the both sides.
C) use a centimeter ruler to measure and document accurately the level of the JVD.
D) elevate the patient gradually to an upright position and examine for continued JVD.
Correct Answer:
Verified
Correct Answer:
Verified
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