The nurse is observing the auscultation technique of another nurse. The correct method to use when progressing from one auscultatory site on the thorax to another is _______ comparison.
Side-to-side
Top-to-bottom
Posterior-to-anterior
Interspace-by-interspace
The Correct Answer is A
A. Side-to-side:
This technique allows for comparison of corresponding areas on both lungs to detect asymmetry in breath sounds.
B. Top-to-bottom:
While commonly used during general assessments, this method alone does not allow for comparison between the lungs.
C. Posterior-to-anterior:
This is not a method for auscultation comparison. Lungs are assessed posteriorly and anteriorly, but not as a comparison method.
D. Interspace-by-interspace:
This refers to location, not comparison technique. Side-to-side ensures symmetry is assessed properly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Temperatures vary depending on the route used:
Each route (oral, rectal, axillary, tympanic) has different baseline readings. Accurate documentation helps interpret the result correctly.
B. Temperatures are readings of core measurements:
Only rectal and tympanic routes give true core temperatures. Oral and axillary are surface-level and influenced by environment.
C. Rectal temperatures are cooler than when taken orally:
This is incorrect-rectal temperatures are typically 0.5–1°F higher than oral temperatures.
D. Axillary temperatures are higher than oral temperatures:
Axillary temps are lower than oral, not higher.
Correct Answer is A
Explanation
A. Reattach the syringe and attempt to withdraw more water from the balloon:
Occasionally, fluid remains in the balloon due to backflow or incomplete deflation. Attempting to withdraw again is safe and often resolves the issue.
B. Ask the patient to bear down as the catheter is withdrawn with gentle pressure:
This may cause trauma if the balloon is not fully deflated. Not appropriate until it's confirmed that the balloon is completely empty.
C. Review the patient's chart to see how much water was inserted into the balloon:
Helpful for planning but not the immediate appropriate action. Reattempting aspiration is more time-sensitive and effective.
D. Explain to the patient that removal of the catheter may cause significant discomfort:
This does not solve the problem. The goal is to remove the catheter safely and with minimal discomfort.
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