When auscultating over the patient's abdominal aorta, the nurse hears a humming sound. The nurse documents this finding as a
a. thrill.
b. bruit.
c. murmur.
d. normal finding.
ANS: B
A bruit is the sound created by turbulent blood flow in an artery. Thrills are palpable vibrations felt when there is turbulent blood flow through the heart or in a blood vessel. A murmur is the sound caused by turbulent blood flow through the heart. Auscultating a bruit in an artery is not normal and indicates pathology.
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The nurse knows a client who is a long-distance runner is able to respond effectively to the increased oxygen demands while running is due to which of the following statements listed below?
A) Sympathetic and parasympathetic stimulation associated with muscle metabolism mediate hypothalamic control of cardiovascular activity. B) End products of muscle metabolism cause vagal stimulation of the medullary cardiovascular centers. C) The insular and anterior cingulated cortex interacts with the hypothalamic centers, resulting in stimulation of the medullary cardiovascular centers. D) Vasodilation results from increased oxygen demand of renal and gastrointestinal blood vessels.
A nurse is receiving a client from the emergency department diagnosed with an acute exacerbation of ulcerative colitis (UC). The nurse anticipates the client may present with which clinical characteristics?
Select all that apply. A) 5-30 diarrhea stools per day with blood and mucus B) Steady right lower quadrant or periumbilical pain C) Cramping in left lower quadrant; relieved by defecation D) Tenderness and mass noted in right lower quadrant E) Fever, malaise, fatigue
When administering medication through an NG tube that is connected to suction, what is done after the medication is given through the tube?
1. The tube is reconnected to the suction. 2. The tube is clamped for 10 minutes then reconnected to suction. 3. The tube is clamped for 30 minutes then reconnected to suction. 4. The suction is left off for 4 hours then reconnected to suction.
The adult client, who has just undergone circumcision, asks why he has been prescribed to take a barbiturate sleeping medication because he does not have any difficulty sleeping. What is the nurse's best response?
A. "The medication prevents spontaneous nighttime erections that can put tension on the incision." B. "This medication ensures that you will sleep deeply enough that you are unlikely to touch the incision site." C. "Your pain will increase when you are in a lying position and you may need the medication to get to sleep." D. "Your prescription is only a precaution. If you have no difficulty sleeping, do not take the medication."