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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Decrease in tear production: This is a common age-related change and is not considered abnormal.
B. Unequal pupillary constriction: Correct. Unequal pupillary constriction (anisocoria) is not normal and may indicate neurological issues.
C. Loss of outer eyebrow hair: This is a normal age-related change due to decreased hair follicles.
D. Arcus senilis: This is a common finding in older adults and is typically benign, caused by lipid deposits around the cornea.
Correct Answer is B
Explanation
A. 1 minute: This is not the correct duration for assessing bowel sounds.
B. 2 minutes each quadrant: Bowel sounds should be auscultated for at least 2 minutes per quadrant before determining that they are absent.
C. 5 minutes: Listening for 5 minutes is excessive and typically unnecessary unless there is concern about a complete absence of bowel sounds.
D. 10 minutes: 10 minutes is also too long for auscultation unless specifically indicated by clinical findings, like suspected paralytic ileus.
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