The nurse is performing a focused assessment of a patient whose medical diagnoses include heart failure
The nurse has positioned the patient in a semi-Fowler's position (head of bed 45 degrees) and noted that the patient's external jugular vein is visibly distended and pulsates with systole. What conclusion should the nurse draw from this assessment finding?
A) The patient is exhibiting symptoms of left-sided heart failure.
B) The patient has a pulse pressure of greater than 30 mm Hg.
C) The patient's central venous pressure (CVP) is elevated.
D) The patient is experiencing fluid volume excess.
C
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