In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location?
The Correct Answer is "{\"xRanges\":[56.109375,86.109375],\"yRanges\":[109,139]}"
To auscultate for the presence of a carotid artery bruit, the nurse should place the bell of the stethoscope over the carotid artery. Specifically, the nurse should place the bell of the stethoscope lightly on the skin just medial to the sternocleidomastoid muscle at the level of the thyroid cartilage. The carotid artery can be found in the neck, just lateral to the trachea and medial to the sternocleidomastoid muscle.
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Related Questions
Correct Answer is D
Explanation
A. Dimpled area above anus: This can be a sign of a pilonidal cyst, a condition where hair follicles become embedded under the skin.
B. Flap of tissue at sphincter: This could indicate haemorrhoids, swollen veins in the anus and rectum.
C. Hypotonic tone of the anal sphincter: Weak anal sphincter tone can lead to faecal incontinence.
D. Increased pigmentation and coarse skin: This is a normal finding, especially in adults. The perianal area can have a darker colour and thicker skin texture compared to other areas
Correct Answer is ["9"]
Explanation
To determine the Apgar score for the newborn infant, we assess five parameters: heart rate, respiratory effort, muscle tone, reflex irritability, and color. Each parameter is scored from 0 to 2, with 2 being the highest score. Let's evaluate each parameter:
- Heart rate: 150 beats/minute --> Score of 2.
- Respiratory effort: Vigorous cry present --> Score of 2.
- Muscle tone: Good muscle tone with total flexion --> Score of 2.
- Reflex irritability: Quick reflex irritability noted --> Score of 2.
- Color: Dusky and cyanotic skin color --> Score of 1.
Now, we sum up the scores: 2+2+2+2+1=92+2+2+2+1=9
Therefore, the Apgar score for this infant is 9.
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