Complete the following sentence using the list of options.
Palpation is the assessment technique using the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient.
Palpation is a critical skill for nurses to master for comprehensive patient assessment.
Palpation helps in identifying abnormalities that may not be visible to the naked eye.
This technique involves careful and systematic touching of the body.
Proper palpation technique ensures accurate and thorough physical examinations.
The Correct Answer is C
Choice A rationale
While palpation is a critical skill, this statement does not directly complete the given sentence which defines palpation as a technique. The existing sentence establishes the "what" of palpation, and the completion should elaborate on "how" it's performed or its direct characteristics.
Choice B rationale
Palpation certainly helps identify abnormalities, but this statement describes a benefit or outcome of the technique, not the core method itself as described in the initial sentence. The sentence sets up the physical action, not its diagnostic utility.
Choice C rationale
This choice logically completes the sentence by explaining the *methodology* of palpation, directly following the description of the senses involved and what is being assessed. It specifies that the technique involves "careful and systematic touching of the body," which directly relates to the physical act of assessment.
Choice D rationale
Proper palpation technique ensures accurate examinations, but this statement focuses on the *quality* of the technique rather than describing the technique itself. The initial sentence defines the technique; the completion should expand on its execution, not its outcome. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A 15-degree angle is typically used for intradermal injections, where the medication is deposited just beneath the epidermis to form a bleb, not for subcutaneous injections which target the adipose tissue layer. Taut skin is also incorrect for subcutaneous.
Choice B rationale
For an average-sized client receiving a subcutaneous injection, a 45-degree angle facilitates optimal medication deposition into the subcutaneous adipose tissue layer. Pinching the skin helps to elevate the subcutaneous tissue away from underlying muscle, reducing the risk of intramuscular injection.
Choice C rationale
A 90-degree angle is typically used for intramuscular injections in most adults, aiming to deposit medication deep into muscle tissue. Stretching the skin is generally more appropriate for intramuscular injections rather than subcutaneous.
Choice D rationale
Z-tracking is a technique primarily used for intramuscular injections of irritating medications to prevent leakage back into subcutaneous tissue. It is not a standard technique for subcutaneous injections, which use a different angle and skin manipulation.
Correct Answer is D
Explanation
Choice A rationale
Drug tolerance refers to a phenomenon where a patient's response to a specific drug decreases over time, requiring larger doses to achieve the same therapeutic effect. This often occurs due to physiological adaptations, such as altered receptor sensitivity or increased drug metabolism, and is distinct from simply taking multiple medications.
Choice B rationale
A pharmacogenetic reaction involves an individual's unique genetic makeup influencing their response to a drug, leading to altered drug metabolism, efficacy, or adverse effects. This is a specific type of drug response based on genetic variations and is not synonymous with the practice of taking numerous medications.
Choice C rationale
Drug toxicity refers to adverse effects that occur when the concentration of a drug in the body exceeds the therapeutic range, leading to harmful or undesirable physiological effects. While taking multiple drugs can increase the risk of toxicity, toxicity itself is a consequence, not the term for taking numerous drugs.
Choice D rationale
Polypharmacy is the medical term used to describe the practice of taking multiple medications concurrently, often more than is medically necessary or when the potential for adverse drug interactions and side effects outweighs the benefits. This is a common issue in older adults due to the presence of multiple chronic conditions requiring different pharmacological interventions.
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