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.)
A
B
C
D
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Keep the bed in the lowest position and initiate seizure and fall precautions: While seizure and fall precautions may be necessary for safety, the client's symptoms, including right-sided weakness and sluggish speech, are indicative of a potential stroke rather than a seizure. Immediate intervention to assess for and treat possible stroke is critical.
B. Place an indwelling urinary catheter and measure strict intake and output: Although urinary management may be necessary, it is not the priority in this situation. The client's symptoms suggest a neurological issue that requires urgent assessment and intervention.
C. Maintain elevated positioning of the dependent joints on affected side: Elevating the dependent joints is a strategy used in managing conditions like stroke to prevent complications such as edema, but it does not address the immediate need for stroke assessment and intervention.
D. Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy: Correct! The client's presentation with right-sided weakness and sluggish speech suggests a possible ischemic stroke. Starting IV access and reviewing inclusion criteria for IV fibrinolytic therapy (tPA is crucial for timely intervention to restore blood flow and minimize neurological damage.
Correct Answer is D
Explanation
A. Increasing oxygen to 6 liters/minute may not address the underlying cause of the client's wheezing and may not be the most appropriate intervention at this time.
B. Calling for an Ambu resuscitation bag may be necessary if the client's condition deteriorates further, but it is not the initial intervention for a client with asthma exacerbation.
C. Instructing the client to lie back in bed may not be effective and may exacerbate respiratory distress.
D. Administering a nebulizer treatment with a bronchodilator (e.g., albuterol) is the most appropriate intervention for a client with asthma exacerbation experiencing wheezing and respiratory distress. Nebulizer treatments deliver medication directly to the airways, helping to relieve bronchospasm and improve breathing.
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