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The Nurse, Assessing a Patient for Cardiac Failure, Has Elected

Question 22

Multiple Choice

The nurse, assessing a patient for cardiac failure, has elected to test for abdominojugular reflux. Which action is indicated?


A) Ask the patient to bear down as if moving the bowels.
B) Compress the right upper abdomen for 30 seconds.
C) Use a reflex hammer to tap on the xiphoid process.
D) Roll the patient to the right side and percuss over the left abdomen.

Correct Answer:

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