The nurse is palpating the sinus areas.
If the findings are normal, then the patient should report which sensation?
Pain sensation behind the eyes.
Pain during palpation.
Pressure but no pain or tenderness.
Tingling along the nose & eyes.
The Correct Answer is C
Choice A rationale
Pain sensation behind the eyes, particularly during palpation of the frontal or ethmoid sinuses, suggests inflammation or infection within these sinuses. Under normal conditions, healthy paranasal sinuses are air-filled cavities and should not elicit pain upon palpation.
Choice B rationale
Pain during palpation of any sinus area is indicative of sinusitis or inflammation. The presence of pain signifies pressure buildup, mucosal edema, or infection within the sinus cavities. Normal findings would not involve pain, but rather a sensation of mild pressure.
Choice C rationale
Normal findings during sinus palpation should elicit a sensation of pressure but no pain or tenderness. This indicates that the sinuses are air-filled, patent, and free from inflammation or congestion. The pressure is a result of the gentle digital compression over the bony structures.
Choice D rationale
Tingling along the nose and eyes is not a typical sensation associated with normal sinus palpation. This sensation might suggest neurological irritation, such as nerve compression or neuropathy, rather than a direct physiological response from the paranasal sinuses themselves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
The aortic valve, located between the left ventricle and the aorta, is best auscultated at the second intercostal space (ICS) along the right sternal border. This anatomical landmark allows for optimal sound transmission as blood is ejected from the left ventricle into the systemic circulation, enabling clear identification of S2 heart sounds and potential aortic murmurs.
Choice B rationale
The pulmonic valve, positioned between the right ventricle and the pulmonary artery, is most clearly heard at the second intercostal space (ICS) along the left sternal border. This specific location facilitates the detection of sounds associated with blood flow from the right ventricle into the pulmonary circulation, aiding in the assessment of right heart function and conditions like pulmonary hypertension.
Choice C rationale
The tricuspid valve, situated between the right atrium and the right ventricle, is best auscultated at the fourth intercostal space (ICS) along the left sternal border. This site is optimal for assessing the flow of deoxygenated blood into the right ventricle, allowing for the detection of murmurs related to tricuspid regurgitation or stenosis, and evaluating right heart filling.
Choice D rationale
The mitral valve, located between the left atrium and the left ventricle, is most accurately assessed at the fifth intercostal space (ICS) at the left midclavicular line (MCL). This apex beat location is crucial for hearing sounds associated with the filling of the left ventricle and detecting murmurs indicative of mitral valve prolapse, regurgitation, or stenosis, reflecting left heart function.
Correct Answer is ["A","B","C","D"]
Explanation
The aortic valve is best auscultated at the second intercostal space (ICS) along the right sternal border. This anatomical landmark corresponds to the superficial projection of the aorta and is where the sounds of aortic valve closure and blood flow through the aorta are most clearly transmitted to the chest wall. Optimal sound transmission is achieved by minimizing intervening tissue. Pulmonic rationale:
The pulmonic valve is best auscultated at the third intercostal space (ICS) along the left sternal border, also known as Erb's point. While the pulmonic area is typically at the second ICS left sternal border, Erb's point provides a broader area for detecting murmurs related to both the pulmonic and aortic valves. This location provides good sound transmission for the pulmonary artery. Tricuspid rationale:
The tricuspid valve is best auscultated at the fourth intercostal space (ICS) along the left sternal border. This location overlies the right ventricle and the tricuspid valve, allowing for clear detection of its closure sounds and any associated murmurs. The proximity of the valve to the chest wall at this point facilitates optimal auscultation. Mitral rationale:
The mitral valve is best auscultated at the fifth intercostal space (ICS) at the midclavicular line (MCL). This location is also known as the apex of the heart, where the left ventricle's impulse is strongest. Sounds produced by the mitral valve, particularly during its closure, are best heard here due to the direct anatomical projection and maximal cardiac impulse. .
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