The Findings from an Assessment of a 70-Year-Old Patient with Swelling

question 18

Multiple Choice

The findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees.The nurse knows that this finding indicates:

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

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Definitions:

Exception Questions

Questions asked within therapy to help clients identify times when the problem did not occur, suggesting alternative patterns or solutions.

Scaffolding

Scaffolding is an educational approach that involves providing support to students or individuals as they learn new concepts, gradually removing the support as they become more proficient.

Action Plans

Detailed strategies or steps designed to achieve specific goals or outcomes.

Not-knowing

A stance in therapy where the therapist adopts a position of openness and curiosity, avoiding assumptions about the client's experience, to better explore and understand the client's perspective.