The nurse hears high-pitched swooshing sounds over the carotid artery on the right side. What is this sound indicative of?

Gallops

Murmurs

Normal findings

Bruits

Answer and Explanation

The Correct Answer is D

A. Gallops refer to abnormal heart sounds that occur during the cardiac cycle, not typically associated with sounds over the carotid artery.

B. Murmurs are abnormal heart sounds that occur due to turbulent blood flow in the heart, not typically related to the carotid artery.

C. Normal findings would not usually include high-pitched swooshing sounds over the carotid artery; such sounds are abnormal.

D. Bruits are abnormal sounds caused by turbulent blood flow in the arteries, which can be detected as high-pitched swooshing sounds over the carotid artery, often indicative of stenosis or narrowing of the vessel.

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Correct Answer is A

Explanation

A. Palpating McBurney's point for rebound tenderness helps evaluate for appendicitis, which is relevant given the client’s localized tenderness in the right lower quadrant.

B. Murphy's sign is used to assess for gallbladder inflammation, which is not indicated by right lower quadrant pain.

C. The Tinel sign is used to assess for nerve irritation, not abdominal pain or appendicitis.

D. Testing for a fluid wave is used to assess for ascites, which does not fit the presentation of localized right lower quadrant pain.

A. Flat murmur B. Diastolic murmur C. Absent murmur D. Systolic murmur

Correct Answer is D

Explanation

A. A flat murmur does not accurately describe the type of murmur associated with mitral insufficiency.

B. Mitral insufficiency is typically classified as a systolic murmur, not diastolic.

C. An absent murmur would indicate no audible sound, which is not applicable here.

D. Mitral insufficiency or regurgitation is characterized by a systolic murmur due to the backflow of blood from the left ventricle into the left atrium during systole.

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The nurse hears high-pitched swooshing sounds over the carotid artery on the right side. What is this sound indicative of?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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