During an assessment of a 68-year-old with a recent onset of right-sided weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. Which finding does this indicate?
Blood flow turbulence
Ventricular hypertrophy
Fluid volume overload
Valvular disorder
The Correct Answer is A
A. Blood flow turbulence:
A bruit, heard as a blowing or swishing sound, indicates turbulent blood flow, often from atherosclerosis.
B. Ventricular hypertrophy:
Not assessed via carotid auscultation-detected via ECG or imaging.
C. Fluid volume overload:
Might cause bounding pulses but does not cause a bruit.
D. Valvular disorder:
Would be heard over the precordium, not the carotid artery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Blood flow turbulence:
A bruit, heard as a blowing or swishing sound, indicates turbulent blood flow, often from atherosclerosis.
B. Ventricular hypertrophy:
Not assessed via carotid auscultation-detected via ECG or imaging.
C. Fluid volume overload:
Might cause bounding pulses but does not cause a bruit.
D. Valvular disorder:
Would be heard over the precordium, not the carotid artery.
Correct Answer is A
Explanation
A. Peripheral vasoconstriction:
In response to cold, the body constricts peripheral vessels to preserve core temperature, leading to pale, cool skin.
B. Peripheral vasodilation:
Causes warm, flushed skin, not pale and cool.
C. Venous pooling:
Would lead to reddish-blue discoloration and possibly swelling-not pallor and coolness.
D. Decreased arterial perfusion:
Could cause pale and cool skin chronically, but in this case, it's an acute environmental response, not pathological.
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