When auscultating over a patient's femoral arteries, the nurse notices the presence of a bruit on the left side. The nurse knows that bruits:

Occur in the presence of lymphadenopathy.

Occur with turbulent blood flow, indicating partial occlusion.

In the femoral arteries are caused by hypermetabolic states.

Are often associated with venous disease.

Answer and Explanation

The Correct Answer is B

A. Lymphadenopathy: A bruit is not associated with lymphadenopathy; it is caused by turbulent blood flow.

B. Turbulent blood flow: A bruit is the sound of turbulent blood flow, which occurs due to partial arterial occlusion.

C. Hypermetabolic states: While bruits can be heard in various conditions, they are not typically associated with hypermetabolic states like fever or thyroid disease.

D. Venous disease: Bruits are arterial in origin, not related to venous disease.

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Correct Answer is B

Explanation

A. Older adult taking anticoagulant medication: Anticoagulants reduce the risk of thrombosis.

B. Person who has been on bed rest for 4 days: Prolonged immobility reduces muscle contraction, leading to decreased venous return and increased risk of venous stasis and DVT.

C. Person with a 30-year smoking habit: Smoking is a risk factor for arterial disease rather than venous disease.

D. Woman in her second month of pregnancy: Pregnancy increases venous pressure but is more significant in the third trimester.

A. Warm the stethoscope before auscultating B. Have the patient bend their knees C. Expose only the abdomen for examination D. Have the patient empty his/her bladder

Correct Answer is D

Explanation

A. Warming the stethoscope: Improves comfort but is not the first step.

B. Bending the knees: Helps relax abdominal muscles but is done after bladder emptying.

C. Exposing only the abdomen: Ensures privacy but does not affect comfort as much as an empty bladder.

D. Emptying the bladder relieves pressure and discomfort, allowing for a thorough and accurate examination.

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When auscultating over a patient's femoral arteries, the nurse notices the presence of a bruit on the left side. The nurse knows that bruits:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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