In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location?

Answer and Explanation

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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Correct Answer is A

Explanation

A. Inspection. Papilledema, swelling of the optic disc due to increased intracranial pressure, is primarily assessed through inspection of the optic disc using an ophthalmoscope. The nurse would look for optic disc swelling and blurred disc margins.

B. Auscultation. Auscultation is not appropriate for assessing papilledema, as it involves listening for sounds such as heart, lung, or bowel sounds.

C. Palpation. Palpation is not appropriate for assessing papilledema, as it involves touching and feeling for abnormalities, which would not be possible with the optic disc.

D. Percussion. Percussion is not appropriate for assessing papilledema, as it involves tapping the body surface to elicit sounds or vibrations, which would not provide information about the optic disc.

A. Obtain a dietary consultation for nutrition teaching. B. Instruct the client in the need to use iodized salt. C. Request diagnostic laboratory testing for the client. D. Schedule a follow-up appointment in one month.

Correct Answer is C

Explanation

A. Obtain a dietary consultation for nutrition teaching: Diet might play a role in some thyroid conditions, but a referral for dietary consultation wouldn't be the first step.

B. Instruct the client in the need to use iodized salt: Iodine deficiency can cause goiter (enlarged thyroid gland), but most table salt in developed countries is iodized.

C. Request diagnostic laboratory testing for the client: This is the most appropriate next step. Blood tests can help determine the cause of the enlarged thyroid gland.

D. Schedule a follow-up appointment in one month: A follow-up might be needed, but further workup is essential to determine the cause of the finding.

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In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location?

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Naxlex Comprehensive Predictor Exams

Which assessment technique should the nurse use to confirm the presence of papilledema in a client with a rapidly decreasing level of consciousness?

Correct Answer is A

Explanation

When performing a physical assessment, palpation reveals to the clinic nurse that a client has an enlarged thyroid gland. What action should the nurse take in response to this finding?

Correct Answer is C

Explanation

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