NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale

NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale • The nurse will use which technique of assessment to determine the presence of crepitus,swelling, and pulsations? • Palpation • Inspection • Percussion • Auscultation RAT: Palpation applies the sense of touch to assess texture, temperature, moisture, organlocation and size, as well as any swelling, vibration or pulsation, rigidity or spasticity, crepitation, presence of lumps or masses, and the presence of tenderness or pain. • When performing a physical examination, safety must be considered to protect the examiner and the patient against the spread of infection. Which of these statements describes the most appropriate action the nurse should take when performing a physicalexamination? • Washing one’s hands after removing gloves is not necessary, as long as the glovesare still intact. • Hands are washed before and after every physical patient encounter. • Hands are washed before the examination of each body system to prevent thespread of bacteria from one part of the body to another. • Gloves are worn throughout the entire examination to demonstrate to the patient concern regarding the spread of infectious diseases. RAT: The nurse should wash his or her hands before and after every physical patient encounter; after contact with blood, body fluids, secretions, and excretions; after contact with any equipment contaminated with body fluids; and after removing gloves. Hands should be washed after gloves have been removed, even if the gloves appear to be intact.Gloves should be worn when potential contact with any body fluids is present.