To auscultate for a carotid bruit, the nurse places the stethoscope at what location (Select the correct location on the image. To change, click on a new location.)

Answer and Explanation

The Correct Answer is A

A. This is the correct area of auscultating for carotid bruit.

B.   This is the area of auscultation for femoral artery bruit.
C.   This is the brachial artery region.
D.   This is the abdominal aorta

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Correct Answer is D

Explanation

A. "Which medication works best?": While medication management is important in treating schizophrenia, asking about medication effectiveness may not provide immediate insight into the nature or content of the hallucinations.

B. "When do you hear voices?": Understanding the timing of hallucinations can provide some context, but it may not directly address the content or impact of the hallucinations on the client's well-being.

C. "How do you cope with the voices?": Understanding coping strategies is valuable, but it may not reveal the specific content of the hallucinations.

D. "What are the voices saying?": This question is crucial because it helps the nurse understand the content and potential themes of the auditory hallucinations, which can inform the treatment plan and interventions for the client's symptoms.

A. Provide diet low in phosphorus. B. Note signs of swelling and edema. C. Increase oral fluid intake to 1,500 mL daily. D. Monitor abdominal girth. E. Report serum albumin and globulin levels.

Correct Answer is ["B","D","E"]

Explanation

A. A low phosphorus diet is not typically indicated for liver cirrhosis; instead, a low sodium diet is usually recommended to manage ascites and edema.
B. Noting signs of swelling and edema is important for monitoring fluid retention, a common complication of cirrhosis.
C. Increasing oral fluid intake is not advised without careful assessment due to the risk of fluid overload and worsening of ascites.
D. Monitoring abdominal girth helps in assessing for ascites and its progression, which is crucial in the management of cirrhosis.
E. Reporting serum albumin and globulin levels is important as these can indicate the synthetic function of the liver and help guide treatment.

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To auscultate for a carotid bruit, the nurse places the stethoscope at what location (Select the correct location on the image. To change, click on a new location.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with schizophrenia reports auditory hallucinations when admitted to the hospital.What question is most important for the nurse to include in the assessment of this client?

Correct Answer is D

Explanation

A client with cirrhosis of the liver is admitted with complications related to end stage liver disease. Which intervention(s) should the nurse implement? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A client with cirrhosis of the liver is admitted with complications related to end stage liver disease. Which intervention(s) should the nurse implement? (Select all that apply.)

Which nursing intervention is most important for the nurse to include in the plan of care for a client with alcohol withdrawal delirium?

The nurse is caring for a client who arrives at the emergency department with reports of experiencing dizziness and difficulty walking to the bathroom. The nurse observes right-sided weakness and sluggish enunciation of speech. The nurse should immediately take which action?

The nurse is assessing a first day postpartum client. Which finding is most indicative of a postpartum infection?

A client is being urgently transported to radiology for a Computerized Tomography (CT scan) after a sudden decrease in the level of consciousness. The client is orally intubated and has a left lateral chest tube to 20 cm suction. Which action is most important for the nurse to take?

The daughter of an older woman who has Parkinson's disease, calls the clinic and reports that her mother has been confused for the past week. Which action(s) should the nurse take? (Select all that apply.)