Complete the sentence using the drop-down lists. A nurse is completing a physical assessment of a client's respiratory system.
The nurse should first use the dropdown technique and end with the dropdown technique.
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Inspection: Inspection is the first step in a respiratory assessment because it allows the nurse to observe the client’s overall respiratory effort, chest symmetry, use of accessory muscles, and breathing pattern. It is noninvasive and provides essential visual information about the client’s respiratory status before performing any physical manipulation.
• Percussion: Percussion is performed last because it involves tapping the chest to assess underlying tissue density and lung sounds, which can be uncomfortable for the client if done first. It provides additional information about areas of consolidation, fluid, or air in the lungs. Percussion is best completed after inspection, palpation, and auscultation, ensuring the assessment progresses from least to most invasive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Provides an opportunity for the client to relax before the exam: While the general survey may help the client feel more at ease, its primary purpose is not relaxation but to gather initial observational data.
B. Allows for vital signs to be taken prior to starting the exam: Vital signs are part of the assessment process, but the general survey encompasses a broader observation of the client’s overall appearance, behavior, and physical status.
C. States an introduction and general plan of care: Introducing the exam and outlining the plan is important for communication and rapport, but it is separate from the general survey, which focuses on observational data.
D. Yields information to guide the physical assessment: The general survey provides baseline information about the client’s overall appearance, behavior, and functional status. Observations from the survey help prioritize and direct subsequent detailed physical assessments.
Correct Answer is D
Explanation
A. Beneficence: Beneficence involves acting in the client’s best interest to promote well-being and prevent harm. While the provider may have attempted to ensure the client’s safety, allowing the client to leave does not exemplify beneficence because the focus was on respecting the client’s choice rather than prioritizing their safety.
B. Fidelity: Fidelity refers to maintaining loyalty, keeping promises, and being faithful to commitments made to the client. Although the provider provided information and guidance, the scenario emphasizes respect for decision-making rather than maintaining a specific promise or commitment.
C. Veracity: Veracity involves truth-telling and providing accurate, honest information. The healthcare provider did explain the risks associated with leaving, which demonstrates veracity, but the ethical principle highlighted in this situation is about the client’s right to make their own decisions.
D. Autonomy: Autonomy is the ethical principle that supports an individual’s right to make informed decisions about their own care. By respecting the client’s choice to leave despite the risks, the healthcare provider upheld the client’s autonomy.
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