To perform auscultation of a patient's thyroid gland, you would place the bell of your stethoscope over the
a. thyroid isthmus, then the right and left lobes.
b. right thyroid lobe, then the left lobe.
c. left carotid artery first.
d. right temporal artery, then the left temporal artery.
B
If the thyroid is enlarged, auscultation should be performed. The nurse stands in front of the patient, places the stethoscope over the right thyroid lobe, auscultates for bruits, and finally repeats the procedure on the left lobe. The thyroid isthmus is the band of tissue connecting the right and left thyroid lobes; however, it is not involved in auscultation of the thyroid gland. Options "c" and "d" are included in auscultation of the thyroid gland.
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On the 1 AM rounds, the nurse finds a patient awake and frustrated that she cannot go to sleep. The nurse administers an ordered hypnotic to help the patient sleep
Two hours later, the nurse finds the patient out of bed, full of energy and cleaning her room. The nurse evaluates the patient's response to the hypnotic as A) an allergic reaction. B) an idiosyncratic response. C) a synergistic effect. D) a teratogenic effect.
When the nurse is alone with a client, the client states: "It was all my fault. The house was so messy when he got home and I know he hates that." Which response would be most appropriate?
A) "It is not your fault. No one deserves to be hurt. " B) "What else did you do to make him so angry with you?" C) "You need to start to clean the house early in the day." D) "Remember, he works hard and you need to meet his needs."
During a physical assessment, the nurse notes that a patient's heart rate is 56 beats per minute. What should the nurse document that the patient is experiencing?
a. Dyspnea b. Cyanosis c. Diaphoresis d. Bradycardia
To prevent aspiration in your cognitively compromised client, you would do all of the following EXCEPT:
1. sit him upright to eat. 2. lie him flat immediately after feeding. 3. provide small bites. 4. allow extra time for chewing and swallowing.