While Assessing a Patient with Heart Failure, the Nurse Notes

question 20

Multiple Choice

While assessing a patient with heart failure, the nurse notes that the patient has jugular venous distension (JVD) when lying flat in bed. The nurse's next action will be to

• A) have the patient perform the Valsalva maneuver and observe the jugular veins.
• B) palpate the jugular veins and compare the volume and pressure on the both sides.
• C) use a centimeter ruler to measure and document accurately the level of the JVD.
• D) elevate the patient gradually to an upright position and examine for continued JVD.

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Definitions:

Outsourcing Concerns

Issues or considerations related to the practice of transferring business processes or services to external providers, including quality, security, and dependency risks.

Supplier's Risks

Potential challenges or threats that suppliers face, including financial instability, production issues, or market demand changes.

Layoffs

The act of temporarily or permanently dismissing employees from their jobs, often due to economic downturns or organizational restructuring.

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A legal agreement where one company hires another to perform services or produce goods that could otherwise be conducted in-house.