While auscultating a patient's epigastric region, you hear a blowing sound, which you determine to be
a. normal gastric sounds.
b. a bruit, indicating turbulent blood flow.
c. a thrill, indicating that an aneurysm may be present.
d. normal aortic pulsations.
B
A bruit makes a blowing sound that can be auscultated when the blood flow becomes turbulent because blood is rushing past an obstruction. Normal gastric sounds are intermittent and gurgling. A thrill is a fine vibration felt by a nurse's hand on a patient's body over the site of an aneurysm. It is not examined via auscultation. Normal aortic pulsations are observed, not auscultated.
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