The nurse is performing the technique shown. What is the nurse assessing?

Tactile fremitus

Chest expansion

Breath sounds

Tissue consolidation

Answer and Explanation

The Correct Answer is B

A. Tactile fremitus: This involves palpating vibrations on the chest wall as the patient speaks, not assessing chest expansion.

B. Chest expansion: This technique assesses the symmetrical movement of the chest during inhalation and exhalation, which is the correct assessment for this context.

C. Breath sounds: Breath sounds are assessed through auscultation rather than palpation.

D. Tissue consolidation: This involves detecting areas of increased density in lung tissue, often assessed through percussion or auscultation, not through the technique shown for chest expansion.

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Correct Answer is D

Explanation

A. Planning: Planning involves setting goals and interventions based on data collected, but data collection itself is not part of this phase.

B. Diagnosis: Diagnosis involves analyzing collected data to identify health issues, but data collection is a separate process that occurs before this phase.

C. Evaluation: Evaluation assesses the effectiveness of interventions and progress towards goals, but data collection is performed earlier in the process.

D. Assessment: Data collection is a fundamental part of the assessment phase in the nursing process, where information is gathered to identify patient needs and conditions.

A. Identify ways to ensure client privacy. B. Turn on relaxing music of the client's choice. C. Wash hands D. Obtain and check needed equipment. E. Dim the lighting to promote comfort.

Correct Answer is ["A","C","D","E"]

Explanation

A. Identify ways to ensure client privacy: Ensuring privacy is essential for a respectful and confidential examination.

B. Turn on relaxing music of the client's choice: While this might improve the client's comfort, it is not a standard or necessary step before conducting a physical examination.

C. Wash hands: Hand hygiene is crucial before any physical examination to prevent infection.

D. Obtain and check needed equipment: Having and checking equipment ensures that all necessary tools are available and in working order for the examination.

E. Dim the lighting to promote comfort: Proper lighting can help in conducting a thorough examination and make the client feel more comfortable.

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The nurse is performing the technique shown. What is the nurse assessing?

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Naxlex Comprehensive Predictor Exams

Data collection occurs where in the nursing process?

Correct Answer is D

Explanation

Which of the following should the nurse do before conducting a physical examination of a client? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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