Multiple Choice
While assessing a patient who was admitted with heart failure, the nurse notes that the patient has jugular venous distention ( JVD ) when lying flat in bed. Which action should the nurse take next?
A) Use a ruler to measure the level of the JVD.
B) Document this finding in the patient's record.
C) Observe for JVD with the head at 30 degrees.
D) Have the patient perform the Valsalva maneuver.
Correct Answer:
Verified
Correct Answer:
Verified
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