The nurse is observing the auscultation technique of a student nurse. What is the correct method to use when progressing from one auscultatory site on the thorax to another?
Top-to-bottom comparison
Posterior-to-anterior comparison
Interspace-by-interspace comparison
Side-to-side comparison
The Correct Answer is D
A. Top-to-bottom comparison is not the best method for auscultation. A more systematic approach is needed.
B. Posterior-to-anterior comparison does not apply to all auscultation areas, and a consistent method across the thorax is preferred.
C. Interspace-by-interspace comparison involves comparing sounds across different intercostal spaces but is not a method for transitioning between sites.
D. Side-to-side comparison ensures the nurse is assessing both sides of the thorax equally and systematically, which is the correct approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Fixed lymph nodes suggest possible malignancy or infection and are not typical for a healthy individual.
B. Lymph nodes that are large, firm, and fixed to the tissue also suggest infection or malignancy and would be abnormal in a healthy patient.
C. Nonpalpable lymph nodes are a normal finding.
D. Rubbery, discrete, and mobile lymph nodes are indicative of a pathological process.
Correct Answer is C
Explanation
A. Asthma exacerbation typically causes wheezing or bronchospasm and would not usually cause decreased breath sounds in one lung.
B. Pulmonary embolism may cause breathlessness or decreased oxygen levels, but it wouldn't typically cause unilateral decreased breath sounds.
C. Pneumothorax is the most likely cause, as air in the pleural space can collapse the lung, leading to decreased or absent breath sounds on the affected side.
D. Pulmonary edema typically causes bilateral crackles and would not cause unilateral decreased breath sounds.
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