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Chapter 34: Heart Failure Lewis: Medical-Surgical Nursing, 10th Edition
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---9August 20222022/2023A+
- MULTIPLE CHOICE 
1. While assessing a 68-yr-old with ascites, the nurse also notes jugular venous distention (JVD) 
with the head of the patient’s bed elevated 45 degrees. The nurse knows this finding indicates 
a. decreased fluid volume. c. increased right atrial pressure. 
b. jugular vein atherosclerosis. d. incompetent jugular vein valves. 
ANS: C 
The jugular veins empty into the superior vena cava and then into the right atrium, so JVD 
with the patient sitting at a 45-degree angle refl...
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