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 C
Explanation
A. Emptying the drainage bag when half full:
This helps prevent backflow and tension on the catheter. It is an appropriate action.
B. Kinking the catheter tubing to obtain a urine specimen:
While not ideal, temporary kinking (with care) may be done to collect a specimen. This is not the worst safety breach.
C. Placing the drainage bag on the side rail of the patient's bed:
The bag must be kept below bladder level to prevent reflux and infection. Side rails can move, leading to unsafe positioning.
D. Securing the catheter tubing to the patient's thigh:
Properly securing the catheter prevents traction and reduces the risk of injury or dislodgement.
Correct Answer is A
Explanation
A. Perform catheter care twice a day:
Routine perineal care and cleaning of the catheter insertion site are evidence-based practices to reduce CAUTI risk.
B. Replace the catheter on a routine basis:
Routine replacement is done, but not more effective than good hygiene in reducing infection risk. Over-manipulation may increase risk.
C. Administer cranberry tablets three times a day:
Cranberry products have not consistently shown a reduction in CAUTIs in catheterized patients.
D. Administer prophylactic antibiotics twice a day for the duration of the catheter:
This promotes antibiotic resistance and is not recommended unless there is an active infection.
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