What position should the nurse place the head of the bed in to obtain the most accurate reading of jugular vein distention?
A. High-Fowler’s
B. Raised 10 degrees
C. Raised 30 degrees
D. Supine position
Correct Answer: C. Raised 30 degrees
Jugular venous pressure is measured with a centimeter ruler to obtain the vertical distance between the sternal angle and the point of highest pulsation with the head of the bed inclined between 15 and 30 degrees.
Option A: In high-Fowler’s position, the veins would be barely discernible above the clavicle.
Option B: Inclined pressure can’t be seen when the head of the bed is raised 10 degrees because the point that marks the pressure level is above the jaw (therefore, not visible).
Option D: Inclined pressure cannot be seen when the client is in a supine position because the point that marks the pressure level is above the jaw.