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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Meeting affiliation needs involves fostering a sense of belonging and emotional support, typically through communication and relationship-building, not primarily physical care.
B. Meeting basic human needs refers to actions that address physiological well-being and physical comfort. Repositioning to prevent pressure ulcers and applying moisturizer to protect skin integrity are examples of attending to a patient's fundamental physical needs.
C. Using an encouraging manner involves verbal and nonverbal communication that promotes hope and confidence, which is not the focus of the nurse's actions in this scenario.
D. Mutual problem solving involves collaboration between nurse and patient to identify and resolve health issues. While important, it is not directly represented in the described behavior.

A. The nurse assesses the patient for cultural influences that affect body image. B. The nurse provides gentle oral care to a patient with a nasogastric tube. C. The nurse encourages the patient to wear hearing aids to facilitate communication. D. The nurse spends time with the patient to provide empathy and inspire hope.

Correct Answer is D

Explanation

A. Assessing the patient for cultural influences that affect body image is important, but it focuses on gathering information rather than providing reassurance.
B. Providing gentle oral care to a patient with a nasogastric tube is a compassionate action, but it is more about physical care than offering emotional reassurance.
C. Encouraging the patient to wear hearing aids to facilitate communication is helpful and practical, but it doesn’t directly involve emotional reassurance.
D. Spending time with the patient to provide empathy and inspire hope is the best example of attentive reassurance. It demonstrates emotional support, helps build trust, and reassures the patient that the nurse cares about their well-being.

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The nurse is preparing to access the carotid arteries of a client. When auscultating the carotids she should:

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