The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

Severe obesity

Severe dehydration

Connective tissue disorders such as scleroderma

Childhood growth spurts

Answer and Explanation

The Correct Answer is B

A.   Severe obesity may not affect skin turgor but may cause other skin-related issues like stretching.
B.   Severe dehydration is the most likely cause of decreased skin turgor, as dehydration reduces the amount of interstitial fluid, causing the skin to lose elasticity.
C.   Connective tissue disorders such as scleroderma may affect skin appearance, but they typically cause hardening rather than decreased turgor.
D.   Childhood growth spurts generally do not affect skin turgor unless other conditions are present, such as dehydration or malnutrition.

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Correct Answer is C

Explanation

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.

A. Normally auscultated over the trachea. B. Vesicular breath sounds and normal in that location. C. Bronchial breath sounds and normal in that location. D. Bronchovesicular breath sounds and normal in that location.

Correct Answer is B

Explanation

A. Normally auscultated over the trachea refers to bronchial breath sounds, which are louder and higher-pitched and heard over the trachea, not the lower lungs.
B. Vesicular breath sounds and normal in that location are low-pitched and soft, heard over the peripheral lung fields, and normal for the lower lobes.
C. Bronchial breath sounds and normal in that location would be expected near the trachea and bronchi, not over the peripheral lung fields.
D. Bronchovesicular breath sounds and normal in that location are typically heard over the major bronchi, not the posterior lower lobes.

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The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are:

Correct Answer is B

Explanation

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A nurse in an emergency department (ED) is admitting a client. Exhibits Select 4 findings in the client's medical record that place them at risk for pneumonia.

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During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of: