A patient's thyroid gland is enlarged, and the nurse is preparing to auscultate the gland for the presence of a bruit. What technique should the nurse use to assess for a bruit?
Palpate the thyroid while the patient holds their breath
Palpate the thyroid while the patient is swallowing
Auscultate the thyroid with the bell of the stethoscope
Auscultate the thyroid with the diaphragm of the stethoscope
The Correct Answer is C
A. Palpation of the thyroid helps assess its size, consistency, and tenderness but does not aid in detecting a bruit.
B. Swallowing helps assess the mobility of the thyroid but does not aid in auscultating for a bruit.
C. The bell of the stethoscope is used to detect low-pitched sounds, such as a bruit, which might be heard if there is increased blood flow through the thyroid gland, as seen in hyperthyroidism or Graves' disease.
D. The diaphragm is used to detect high-pitched sounds, such as lung or heart sounds. The bell is better for detecting a bruit.
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Related Questions
Correct Answer is C
Explanation
A. Palpation of the thyroid helps assess its size, consistency, and tenderness but does not aid in detecting a bruit.
B. Swallowing helps assess the mobility of the thyroid but does not aid in auscultating for a bruit.
C. The bell of the stethoscope is used to detect low-pitched sounds, such as a bruit, which might be heard if there is increased blood flow through the thyroid gland, as seen in hyperthyroidism or Graves' disease.
D. The diaphragm is used to detect high-pitched sounds, such as lung or heart sounds. The bell is better for detecting a bruit.
Correct Answer is D
Explanation
A. A tender thyroid nodule is more likely to be benign and associated with inflammation or thyroiditis, not cancer.
B. This is more concerning for a malignant nodule, as cancerous nodules are often firm and immobile.
C. A thyroid nodule typically does not change or disappear with facial movements, which is more characteristic of a different type of mass, such as a lymph node.
D. These characteristics are more consistent with a benign nodule, which is often movable and less likely to be cancerous.
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