In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location?

Answer and Explanation

The Correct Answer is "{\"xRanges\":[56.109375,86.109375],\"yRanges\":[109,139]}"

To auscultate for the presence of a carotid artery bruit, the nurse should place the bell of the stethoscope over the carotid artery. Specifically, the nurse should place the bell of the stethoscope lightly on the skin just medial to the sternocleidomastoid muscle at the level of the thyroid cartilage. The carotid artery can be found in the neck, just lateral to the trachea and medial to the sternocleidomastoid muscle.

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Correct Answer is B

Explanation

A. Detailed questions about a symptom: This technique is beneficial for gathering specific information about a symptom. However, asking detailed questions right from the start may not allow the client to provide a broad overview of their symptoms and could limit the information shared.

B. Open-ended questioning: Open-ended questions encourage the client to describe their symptoms in their own words, providing a comprehensive and detailed account. This approach is particularly useful in understanding the quality, color, and consistency of the sputum, which are important details in the assessment of pneumonia. This technique allows for a thorough and unbiased description of the sputum, which is crucial for a complete health assessment in the context of bilateral pneumonia.

C. Leading questions: Leading questions suggest a particular answer and can bias the client's response. For example, asking "Is your sputum thick and green?" may lead the client to agree even if their sputum is different, thus providing inaccurate information.

D. Closed-ended questions: Closed-ended questions elicit short, often one-word answers, such as "yes" or "no." While these can be useful for clarifying specific details, they do not provide the comprehensive description needed to assess the sputum thoroughly in the context of pneumonia.

A. Assess daily alcohol intake. B. Identify signs of depression. C. Determine cognitive status. D. Review risk factors for abuse.

Correct Answer is C

Explanation

A. Assess daily alcohol intake: Alcohol misuse can contribute to a variety of psychiatric symptoms, including hallucinations or delusions. Older adults may metabolize alcohol differently, leading to higher susceptibility to its effects. While this is important, it may not be the first priority unless there are clear signs of alcohol misuse (e.g., smell of alcohol, history provided by the client or family).

B. Identify signs of depression: Depression in older adults can sometimes present with psychotic features, including hallucinations or delusions. Understanding the client's emotional state and identifying symptoms of depression can provide insight into the cause of their behaviour. Depression is common in older adults and can be a precursor or a component of other psychiatric conditions.

C. Determine cognitive status: Cognitive impairment (e.g., dementia) can often present with hallucinations or delusions, and evaluating cognitive status can help differentiate between different types of disorders (e.g., dementia vs. primary psychotic disorders). Assessing cognitive function helps in identifying conditions like Alzheimer's disease or other dementias where hallucinations can be a symptom. This assessment can guide the further direction of evaluation and treatment, making it a critical first step.

D. Review risk factors for abuse: Older adults are at risk of abuse, which can include physical, emotional, and financial abuse. Identifying these risk factors is crucial for their safety and well-being. While this is a significant concern, unless there are immediate signs or disclosures of abuse, it may not be the most urgent assessment in the context of hallucinations.

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In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location?

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Naxlex Comprehensive Predictor Exams

While completing a health assessment for a client being admitted with bilateral pneumonia, the nurse asks the client to describe the sputum. Which communication technique should the nurse use to obtain this information?

Correct Answer is B

Explanation

An older adult client who has been talking to the client's deceased mother is referred to the psychiatric clinic for an evaluation. Which assessment should the nurse complete first?

Correct Answer is C

Explanation

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