Florida State Paramedic Practice Exam

What is the best position to evaluate Jugular Venous Distention (JVD)?

1. Flat position

2. Fowler's position

3. 45-degree angle, semi-Fowler's

4. Right lateral recumbent

The correct answer is: 45-degree angle, semi-Fowler's

The best position to evaluate Jugular Venous Distention (JVD) is the 45-degree angle, semi-Fowler's position. This position allows for optimal visualization of the jugular veins while minimizing pressure on the neck and thoracic structures. At this angle, the head and upper trunk are elevated, which helps to appreciate the changes in venous pressure more accurately. In this position, gravity aids in showing the fullness of the jugular veins, making it easier to assess for signs of fluid overload or right-sided heart failure. When in the semi-Fowler's position, the clinician can more effectively observe the distention and pulsations of the veins without the interference that might occur if the patient were completely flat or too upright. Other positions, such as being in a flat position, may not provide a clear view of the neck veins due to the horizontal alignment of the body, which can obscure the assessment of JVD. Similarly, the right lateral recumbent position can lead to uneven distribution of blood flow, making it challenging to evaluate the jugular veins accurately. Although Fowler's position (sitting upright) elevates the upper body, it may not offer the same level of observation as the semi-Fowler's angle for assessing jug