The nurse assesses distended neck veins in a patient sitting in a chair to eat.Which is the priority intervention of the nurse?

Question

Quizplus · Accepted Answer

Distended neck veins indicate venous congestion in the systemic circulation and possibly right-sided heart failure.The nurse's priority action is to check the patient's pulse and blood pressure.Distended neck veins may be documented in the chart but that is not the priority action of the nurse.There is no need to check specific gravity or deep tendon reflexes.

The Nurse Assesses Distended Neck Veins in a Patient Sitting