During the assessment, the nurse notices areas of the throat that are raw and inflamed. Which technique should the nurse use to assess further?

Inspection

Palpation

Percussion

Auscultation

Answer and Explanation

The Correct Answer is A

Choice A reason: Inspection is the primary technique to further assess a raw, inflamed throat, allowing visualization of color, swelling, or lesions. This non-invasive method is appropriate, making it the correct choice for throat assessment.

Choice B reason: Palpation is inappropriate for a raw throat, as it may cause pain or spread infection. Inspection visually evaluates inflammation, so this is incorrect for further assessment.

Choice C reason: Percussion is used for chest or abdomen, not throat assessment. Visual inspection is needed for inflamed throat tissue, so this is incorrect for the technique required.

Choice D reason: Auscultation is for sounds (e.g., lungs), not visual throat changes. Inspection allows direct observation of inflammation, so this is incorrect for assessing throat condition.

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Correct Answer is C

Explanation

Choice A reason: Statements from the victim are valuable but not required for reporting elder abuse. Mandatory reporters must act on reasonable suspicion, as victims may be unable or unwilling to report due to fear or incapacity, making this incorrect.

Choice B reason: Witness statements support abuse cases but are not mandatory for reporting. Nurses must report based on suspicion, as waiting for witness corroboration could delay protection, making this an incorrect requirement for notification.

Choice C reason: As a mandatory reporter, a nurse must notify authorities based on reasonable suspicion of abuse or neglect, as per legal standards. This ensures timely intervention to protect vulnerable elders, even without definitive proof, making this correct.

Choice D reason: Proof of abuse or neglect is not required for reporting, as mandatory reporters act on suspicion. Requiring proof could delay or prevent reporting, leaving elders at risk, making this an incorrect threshold for notification.

A. Referred B. Visceral C. Cutaneous D. Neuropathic

Correct Answer is D

Explanation

Choice A reason: Referred pain originates in one area but is felt elsewhere, not due to abnormal impulse processing. Neuropathic pain involves nerve dysfunction, so this is incorrect for the pain type described.

Choice B reason: Visceral pain arises from internal organs, not nerve processing issues. Neuropathic pain results from abnormal peripheral or central nerve activity, so this is incorrect for the pain mechanism.

Choice C reason: Cutaneous pain is skin-related, caused by direct stimuli, not abnormal nerve processing. Neuropathic pain involves nerve dysfunction, making this incorrect for the described pain type.

Choice D reason: Neuropathic pain results from abnormal pain impulse processing in the peripheral or central nervous system, such as in neuropathy or nerve injury. This matches the description, making it the correct choice.

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During the assessment, the nurse notices areas of the throat that are raw and inflamed. Which technique should the nurse use to assess further?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

As a mandatory reporter of elder abuse, which of these statements must be present before a nurse notifies the authorities?

Correct Answer is C

Explanation

The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?

Correct Answer is D

Explanation

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