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 C

Explanation

A. Technician: Technicians generally perform specific tasks or tests rather than collecting comprehensive subjective data.

B. Secretary: A secretary's role is administrative and does not involve direct patient assessment or data collection.

C. Nurse: Nurses are typically responsible for collecting subjective data from clients during the initial comprehensive assessment, including patient history and current health concerns.

D. Physician: While physicians review and interpret data, they often rely on nurses to collect detailed subjective information during initial assessments.

A. Gallops B. Murmurs C. Bruits D. Normal findings

Correct Answer is C

Explanation

A. Gallops: Gallops are additional heart sounds heard with a stethoscope that are not related to the carotid artery.

B. Murmurs: Murmurs are abnormal heart sounds related to the heart valves and are typically heard over the precordium rather than the carotid artery.

C. Bruits: Bruits are abnormal, high-pitched swooshing sounds caused by turbulent blood flow in an artery, often indicative of arterial narrowing or blockages.

D. Normal findings: High-pitched swooshing sounds over the carotid artery are not normal and typically warrant further investigation for potential vascular issues.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which individual typically would be responsible for collecting the subjective data on a client during the initial comprehensive assessment?

Correct Answer is C

Explanation

The nurse hears high-pitched swooshing sounds over the carotid artery on the right side. What is this sound indicative of?

Correct Answer is C

Explanation

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