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The Nurse Notes Jugular Venous Distention (JVD) When the Patient

Question 25

Multiple Choice

The nurse notes jugular venous distention (JVD) when the patient is lying flat in bed. Which nursing action is indicated?


A) Turn the patient to the left side and reassess in 10 minutes.
B) Place the patient in a supine position and raise the head of the bed to 30 degrees for reassessment.
C) Notify the patient's primary physician immediately.
D) Ask the patient to cough and assess for the disappearance of the JVD.

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