A 20 year old male patient reports loss of interest and depressed mood during his appointment. The nurse would utilize what screening tool to further evaluate the patient?

A. Listening as the patient inhales and then going to the next site during exhalation: This method is not ideal because it does not allow the nurse to assess both inhalation and exhalation at each site. It is important to listen to both phases of respiration to evaluate the quality of breath sounds accurately.

B. Instructing the patient to breathe in and out rapidly while listening to the breath sounds: Rapid breathing can alter breath sounds and may not provide an accurate assessment of normal respiratory patterns. The patient should breathe normally to ensure the nurse can correctly evaluate the breath sounds.

C. If the patient is modest, listening to sounds over his or her clothing or hospital gown: It is important to listen directly to the skin to obtain clear breath sounds. Clothing can muffle sounds and interfere with the accuracy of the assessment, so the nurse should ensure that the area is adequately exposed while maintaining the patient's modesty.

D. Listening to at least one full respiration in each location: This is the correct approach to auscultation. By listening to a full breath cycle at each auscultation site, the nurse can accurately assess the quality and characteristics of the breath sounds, including any abnormal findings.

A. Palm: The palm of the hand is not ideal for palpating lymph nodes because it does not provide the fine sensitivity needed to detect subtle differences in size, texture, and tenderness.

B. Pads of fingers: The pads of the fingers are the best part of the hand to use when examining lymph nodes. This part allows for precise and gentle palpation, helping the nurse assess the size, consistency, and mobility of the lymph nodes effectively.

C. Base of hand: The base of the hand is less sensitive and not suitable for palpating lymph nodes as it provides less sensitivity compared to the pads of the fingers. The base of the hand is better suited for applying pressure during broader palpation techniques It does not provide the necessary tactile feedback for a thorough examination.

D. Ulnar surface: The ulnar surface of the hand is not typically used for palpation of lymph nodes. It is less sensitive compared to the pads of the fingers and is not appropriate for this examination.