Patient Data

What can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.

Keep the examination room warm, and warm the stethoscope

Wet the chest hair before auscultating

Ensure the room is as quiet as possible

Reach under a gown to listen and take care that no clothing rubs on the stethoscope

Document the roaring and crackles

Answer and Explanation

Correct Answer : A,B,C,D

A. Keep the examination room warm, and warm the stethoscope: A warm environment and stethoscope prevent shivering and muscle tension, which can create extraneous sounds during auscultation.

B. Wet the chest hair before auscultating: Wetting the chest hair reduces friction between the stethoscope and hair, minimizing "roaring" or rustling sounds that mimic abnormal findings.

C. Ensure the room is as quiet as possible: A quiet environment reduces ambient noise, making it easier to hear true breath and heart sounds.

D. Reach under a gown to listen and take care that no clothing rubs on the stethoscope: Clothing can produce artifact sounds, so placing the stethoscope directly on the skin ensures a more accurate assessment.

E. Document the roaring and crackles: If artifacts are identified as non-physiological (e.g., due to chest hair or external noise), documenting them as findings is inappropriate. The nurse should take measures to mitigate artifacts and re-evaluate.

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Correct Answer is "{\"xRanges\":[273,293],\"yRanges\":[271,291]}"

Explanation

To auscultate for the presence of a carotid artery bruit, the nurse should place the bell of the stethoscope over the carotid artery. The carotid artery is located on either side of the neck, running parallel to the trachea. Place the bell of the stethoscope lightly over the carotid artery, just below the angle of the jaw, where the artery is superficial and more accessible.

A. Obtain a medication history including prescription and non-prescription drugs. B. Distinguish between symptoms caused by disease and those due to aging. C. Emphasize the need to place advance directives in the medical record. D. Conduct an assessment of functional capacity and environmental hazards.

Correct Answer is A

Explanation

A. A thorough medication history is essential, especially in older adults, as polypharmacy is common and side effects or interactions can impact health conditions such as blood pressure, osteoarthritis, and sinusitis.

B. While it is important to distinguish between disease symptoms and aging, medication history is a more immediate priority in this case.

C. Advance directives are important but are not the primary focus during routine follow-up exams.

D. Functional capacity and environmental hazards are important, but the medication history takes precedence when managing complex conditions in older adults.

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Patient Data What can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location? (HOT-SPOT)

Correct Answer is "{\"xRanges\":[273,293],\"yRanges\":[271,291]}"

Explanation

Correct Answer is A

Explanation

Which assessment finding, obtained during chest auscultation, should the nurse consider a normal finding?

Patient Data What can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.

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Patient Data

What can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.