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 B
Explanation
A. Return Demonstration involves the patient demonstrating the skill they have learned, which is useful for teaching practical skills but does not provide a space for discussing personal or sensitive topics.
B. One On One Discussion is the best method for discussing personal or sensitive topics. It provides privacy, individualized attention, and a safe environment for patients to express concerns.
C. Group Discussion allows for the exchange of ideas but may not be the best setting for personal or sensitive topics due to the presence of multiple individuals.
D. Lecture is more of a didactic, one-way method of teaching and doesn’t foster open discussion of sensitive topics.
Correct Answer is B
Explanation
A. A darkened, quiet room may not provide an optimal learning environment as adequate lighting and ventilation are important for clarity and focus during educational sessions.
B. A well-lit, ventilated room is the ideal environment for teaching. Proper lighting helps the patient focus, and good ventilation ensures comfort during the teaching process.
C. A group room for 10 to 12 patients may be too large for effective one-on-one teaching, especially for a topic like heart failure that requires personalized instruction.
D. A private room at 85° F may be uncomfortably warm and not conducive to learning. The room temperature should be comfortable but not excessively warm.
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