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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Trapezius: The trapezius is a muscle of the upper back and neck and does not play a primary role in normal respiration.
B. Diaphragm: The diaphragm is the most important muscle for respiration. It contracts and moves downward during inhalation, increasing the thoracic cavity's volume and drawing air into the lungs.
C. Rectus abdominus: The rectus abdominus is a core muscle that helps in forced expiration but is not essential in normal breathing.
D. Sternocleidomastoid: This muscle assists with forced inspiration, but it is not the primary muscle for regular breathing.
Correct Answer is A
Explanation
A. Confluent lesions merge into each other, forming a larger area of affected skin.
B. Annular lesions are ring-shaped, not confluent, so this option does not match the description.
C. This describes a linear arrangement, such as with shingles, not confluent lesions.
D. Grouped or clustered lesions are not confluent but are typically close together, such as in herpes simplex infections.
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