During a routine physical examination of a 70-year-old patient, a blowing sound is auscultated over the carotid artery. The nurse notifies the medical provider of the unexpected physical finding known as
a. Clubbing.
b. Bruit.
c. Right-sided heart failure.
d. Phlebitis.
ANS: B
A bruit is the sound of turbulence of blood passing through a narrowed blood vessel. A bruit can reflect cardiovascular disease in the carotid artery of middle-aged to older adults'. Clubbing is due to insufficient oxygenation at the periphery resulting from conditions such as chronic emphysema and congenital heart disease; it is noted in the nails. Jugular venous distention, not bruit, is a possible sign of right-sided heart failure. Some patients with heart disease have distended jugular veins when sitting. Phlebitis is an inflammation of a vein that occurs commonly after trauma to the vessel wall, infection, immobilization, and prolonged insertion of IV catheters. It affects predominantly peripheral veins.
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