This topic contains a solution. Click here to go to the answer

Author Question: During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the nurse ... (Read 94 times)

oliviahorn72

  • Hero Member
  • *****
  • Posts: 579
During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This finding would indicate:
 
  a. Valvular disorder.
  b. Blood flow turbulence.
  c. Fluid volume overload.
  d. Ventricular hypertrophy.

Question 2

In assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would:
 
  a. Palpate the artery in the upper one third of the neck.
  b. Listen with the bell of the stethoscope to assess for bruits.
  c. Simultaneously palpate both arteries to compare amplitude.
  d. Instruct the patient to take slow deep breaths during auscultation.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jxjsniuniu

  • Sr. Member
  • ****
  • Posts: 343
Answer to Question 1

ANS: B
A bruit is a blowing, swishing sound indicating blood flow turbulence; normally, none is present.

Answer to Question 2

ANS: B
If cardiovascular disease is suspected, then the nurse should auscultate each carotid artery for the presence of a bruit. The nurse should avoid compressing the artery, which could create an artificial bruit and compromise circulation if the carotid artery is already narrowed by atherosclerosis. Excessive pressure on the carotid sinus area high in the neck should be avoided, and excessive vagal stimulation could slow down the heart rate, especially in older adults. Palpating only one carotid artery at a time will avoid compromising arterial blood to the brain.




oliviahorn72

  • Member
  • Posts: 579
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)


Sarahjh

  • Member
  • Posts: 370
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

For a complete list of videos, visit our video library