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During Assessment of a 72-Year-Old Man with Swelling in His

Question 18

Multiple Choice

During assessment of a 72-year-old man with swelling in his ankles,the nurse finds jugular venous distension with the head of the bed elevated 45 degrees.What does the nurse know this finding indicates?


A) Decreased fluid volume
B) Elevated right atrial pressure
C) Incompetent jugular vein valves
D) Atherosclerosis of the jugular veins

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