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 B
Explanation
A. This is a vibration felt on the chest wall when a patient speaks, often used to assess lung sounds. It is not associated with the crackling sensation described here.
B. The coarse, crackling sensation felt on the skin surface when palpating is crepitus, which occurs when air escapes into the subcutaneous tissue, often due to trauma, infection, or the presence of a pneumothorax.
C. These are abnormal lung sounds, such as crackles, wheezes, or rhonchi, heard with a stethoscope during auscultation, not felt on the chest wall during palpation.
D. A friction rub is a grating or scraping sound heard with a stethoscope, typically due to inflammation of the pleural surfaces. It is not a sensation felt on the chest wall.
Correct Answer is A
Explanation
A. Tachycardia is a common sign of hyperthyroidism, as elevated thyroid hormones increase heart rate and metabolic rate.
B. Dyspnea is not typically associated with hyperthyroidism; more commonly, hyperthyroid patients experience tachypnea (increased rate of breathing), but not necessarily dyspnea.
C. Constipation is more commonly associated with hypothyroidism, where metabolic slowing occurs.
D. Atrophied nodular thyroid gland is not typical of hyperthyroidism; a goiter (enlarged thyroid) is more commonly seen.
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