Multiple Choice
The nurse is assessing a client who was admitted with heart failure and notes that the client has jugular venous distension (JVD) when lying flat in bed. Which of the following actions should the nurse take next?
A) Use a ruler to measure the level of the JVD.
B) Document this finding in the client's record.
C) Observe for JVD with the head at 45 degrees.
D) Have the client perform the Valsalva manoeuvre.
Correct Answer:
Verified
Correct Answer:
Verified
Q1: A transesophageal echocardiogram (TEE) is ordered for
Q2: The nurse hears a murmur between the
Q3: The nurse is assessing the laboratory results
Q5: The RN is observing a student nurse
Q6: The nurse is monitoring a client who
Q7: The standard policy on the cardiac unit
Q8: The nurse is assessing a newly admitted
Q9: The nurse is reviewing the 12-lead electrocardiograph
Q10: The nurse is providing teaching to a
Q11: During a physical examination of a client,