The nursing instructor is teaching the beginning nursing class how to assess for hepatojugular reflux. How does the nursing instructor teach the student nurses to assess for hepatojugular reflux?
A) Elevate the patient's head to 90 degrees.
B) Press the right upper abdomen.
C) Press the left upper abdomen.
D) Lie the patient flat in bed.
Ans: B
Feedback: Hepatojugular reflux, a sign of right-sided heart failure, is assessed with the head of the bed at a 45-degree angle. As the right upper abdomen (the area over the liver) is compressed for 30 to 40 seconds, the nurse observes the internal jugular vein. If the internal jugular vein becomes distended, a patient has positive hepatojugular reflux.
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