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Chapter :
When performing a physical assessment, the first technique the nurse will
always use is:
a. Palpation.
b. Inspection.
c. Percussion.
d. Auscultation.
B
The skills requisite for the physical examination are inspection,
palpation, percussion, and auscultation. The skills are performed one at
a time and in this order (with the exception of the abdominal
assessment, during which auscultation takes place before palpation and
percussion). The assessment of each body system begins with inspection.
A focused inspection takes time and yields a surprising amount of
information.
NURSING2058 Health Assessment Exam 2 study guide Q & As best exam solution guaranteed success 100% correct/verified
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,NURSING2058 Health Assessment Exam 2 study guide Q & As
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answers latest update 2023/2024 RATED A+
The nurse is preparing to perform a physical assessment. Which
statement is true about the physical assessment? The inspection phase:
a. Usually yields little information.
b. Takes time and reveals a
surprising amount of
information.
c. May be somewhat
uncomfortable for the expert
practitioner.
d. Requires a quick glance at the
patient’s body systems before
proceeding with palpation.
B
A focused inspection takes time and yields a surprising amount of
information. Initially, the examiner may feel uncomfortable, staring at
the person without also doing something. A focused assessment is
significantly more than a “quick glance.”
The nurse hears bilateral loud, long, and low tones when percussing
over the lungs of a 4- year-old child. The nurse should:
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,NURSING2058 Health Assessment Exam 2 study guide Q & As
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a. Palpate over the area for
increased pain and tenderness.
b. Ask the child to take shallow
breaths, and percuss over the
area again.
c. Immediately refer the child
because of an increased amount
of air in the lungs.
d. Consider this finding as normal
for a child this age, and proceed
with the examination.
D
Percussion notes that are loud in amplitude, low in pitch, of a booming
quality, and long in duration are normal over a child’s lung.
A patient has suddenly developed shortness of breath and appears to
be in significant respiratory distress. After calling the physician and
placing the patient on oxygen, which of these actions is the best for the
nurse to take when further assessing the patient?
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, NURSING2058 Health Assessment Exam 2 study guide Q & As
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a. Count the patient’s respirations.
b. Bilaterally percuss the thorax,
noting any differences in
percussion tones.
c. Call for a chest x-ray study, and
wait for the results before
beginning an assessment.
d. Inspect the thorax for any new
masses and bleeding associated
with respirations.
B
Percussion is always available, portable, and offers instant feedback
regarding changes in underlying tissue density, which may yield clues of
the patient’s physical status.
The nurse is teaching a class on basic assessment skills. Which of these
statements is true
regarding the stethoscope and its use?
a. Slope of the earpieces
should point posteriorly
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answers latest update 2023/2024 RATED A+