The nurse is preparing to access the carotid arteries of a client. When auscultating the carotids she should:
Have the client take deep breaths when auscultating
Have the client lean forward, and turn his head to the side
Have the client hold his breath during auscultation
Have the patient cough before each auscultation site
The Correct Answer is C
A. Having the client take deep breaths is not typically necessary during carotid auscultation. Deep breathing could interfere with the ability to listen to the carotid sounds clearly.
B. Having the client lean forward and turn their head may improve access to the carotid arteries, but it is not the primary recommendation for auscultation.
C. Having the client hold their breath during auscultation is important as it helps eliminate any sounds caused by respiration, allowing the nurse to hear murmurs or bruits more clearly.
D. Coughing before auscultation is unnecessary and would not aid in accurately assessing the carotid arteries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Caring and curing are basically synonymous is incorrect. Leininger’s theory distinguishes between caring (focused on the emotional and cultural aspects) and curing (focused on medical interventions).
B. Caring acts are independent of patient values is also incorrect. According to Leininger, caring is culturally based and must be aligned with the patient’s values, beliefs, and preferences.
C. Care is tailored to meet the needs of the individual patient is correct. Leininger’s Transcultural Nursing Theory emphasizes that caring should be specific to the individual, considering their cultural background and personal experiences.
D. Care uses a standardized approach for all patients is incorrect because Leininger’s theory advocates for culturally specific care, not a one-size-fits-all approach.
Correct Answer is C
Explanation
A. Being a patient advocate would involve respecting Mrs. Miller’s autonomy and ensuring that her rights are considered, including the right to refuse treatment. The nurse’s actions do not demonstrate advocacy for Mrs. Miller's personal wishes.
B. Not being sympathetic is part of the scenario, but the main issue is the lack of respect for the patient's autonomy rather than a lack of sympathy.
C. Being unethical in caring is the most accurate answer. The nurse's actions violate Mrs. Miller’s right to make decisions about her care. Autonomy is a fundamental ethical principle in healthcare, and the nurse should have engaged in discussion with the patient, offering education and exploring reasons for her refusal, rather than making her take the medication.
D. Adequate practice because the nurse was busy is not an appropriate justification. Ethical care requires respect for the patient’s rights and choices, regardless of the nurse's workload.
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