A nurse is assessing the abdomen of a client by using a tapping technique over the client's skin with short, sharp strokes to assess the density of underlying structures. What assessment technique is the nurse using?
Palpation
Percussion
Inspection
Auscultation
The Correct Answer is B
A. Palpation: Palpation involves using the hands and fingers to feel for texture, size, temperature, tenderness, and masses, rather than tapping to produce sounds.
B. Percussion: Percussion uses short, sharp tapping motions on the surface of the body to produce sounds or vibrations. These sounds help the nurse assess the density, location, and size of underlying organs and structures.
C. Inspection: Inspection involves visually observing the client’s body, posture, skin, and movements, without the use of touch or tapping techniques.
D. Auscultation: Auscultation involves listening to internal body sounds, typically with a stethoscope, such as heart, lung, and bowel sounds. It does not involve tapping or assessing tissue density.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
No explanation
Correct Answer is ["A","C","E","F"]
Explanation
A. Frayed electrical cords: Frayed cords pose a serious risk of electrical shock or fire. The nurse must report and ensure repair or replacement immediately to maintain a safe environment for both clients and staff.
B. Call light within reach for all clients: Having the call light accessible promotes client safety and independence. This is a safe practice and does not require corrective action.
C. Light bulbs burnt out in client rooms: Burnt-out light bulbs can lead to poor visibility, increasing the risk of trips, falls, and other accidents. The nurse should ensure that lighting is restored promptly to maintain a safe environment.
D. Client rooms that are clear of debris: Clear rooms reduce fall risks and support a safe environment. This indicates proper housekeeping and does not require intervention.
E. Alarms not functioning properly: Nonfunctioning alarms, such as bed or chair alarms, compromise patient safety by preventing timely alerts for at-risk clients. The nurse must have these repaired or replaced immediately.
F. Hallways cluttered with equipment and beds: Cluttered hallways obstruct safe movement, creating fall hazards and delaying emergency responses. Immediate action is needed to clear pathways and maintain safety standards.
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