Assessment of a 70-Year-Old Patient with Swelling in His Ankles

question 15

Multiple Choice

Assessment of a 70-year-old patient with swelling in his ankles reveals jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees.The nurse is aware that this indicates:

• A)decreased fluid volume.
• B)increased cardiac output.
• C)narrowing of jugular veins.
• D)increased pressure on the right side of his heart.

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Definitions:

Evening Walks

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Malignant

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Nursing Responsibility

The duties and obligations that nurses have in the care and treatment of patients, including adhering to a standard of conduct and maintaining patient safety.

Accept Death

The process of understanding and coming to terms with the inevitability of death, often in the context of terminal illness or aging.