While auscultating for breath sounds, the nurse will use the stethoscope correctly by:
listening as the patient inhales and then go to the next site during exhalation
listening to at least one full respiration in each location
listening to sounds through clothing or the hospital gown if the patient is shy
having the patient breathe in and out rapidly while listening to the breath sounds
The Correct Answer is B
A. Listening as the patient inhales and then go to the next site during exhalation:
Incomplete assessment-both inhalation and exhalation are needed to detect abnormalities.
B. Listening to at least one full respiration in each location:
This ensures that both phases of the respiratory cycle are assessed for abnormalities.
C. Listening to sounds through clothing or the hospital gown if the patient is shy:
Inappropriate. Breath sounds must be auscultated directly on skin for accurate assessment.
D. Having the patient breathe in and out rapidly while listening to the breath sounds:
Rapid breathing may distort or exaggerate sounds, making accurate assessment difficult.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Providing information to develop academic writing skills:
Focuses on academic performance, not directly on mental health promotion.
B. Increasing immunization rates with newly admitted students:
Important for physical health prevention, not mental health promotion.
C. Developing cultural cooking groups:
Encourages social interaction and culture-sharing but is indirect in addressing mental health needs.
D. Helping students develop coping skills to handle the stressors of university:
Directly supports mental well-being and resilience-key elements of mental health promotion.
Correct Answer is B
Explanation
A. Palpate firmly with two fingers in the inguinal space between the umbilicus and the symphysis pubis:
That describes femoral pulse, not carotid.
B. Palpate each carotid pulse independently, at the medial sternomastoid muscle:
This ensures accurate palpation and prevents vagal stimulation or compromising blood flow to the brain.
C. Place the finger tips gently between the bicep and tricep muscle:
That describes assessment of the brachial pulse, not carotid.
D. Place two fingers of each hand on the right and left side of the neck where bounding pulsation is noted:
Never palpate both carotids simultaneously-it can decrease cerebral blood flow and cause syncope.
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