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The nurse is preparing to assess the sinuses of an adult client using direct percussion. Which technique is the most appropriate for this assessment?

Using the closed fist of the dominant hand.

Using the hyperextended middle finger of the non-dominant hand.

Using the palm of the non-dominant hand.

Using the fingertips of the dominant hand.

Answer and Explanation

The Correct Answer is D

A. A closed fist is used for assessing deeper structures, such as kidney tenderness, not the sinuses.

B. The hyperextended middle finger is typically used for indirect percussion, not direct.

C. The palm is not suitable for sinus percussion as it covers a large area and reduces sensitivity.

D. The fingertips of the dominant hand are best for direct percussion of the sinuses to assess for tenderness or fluid accumulation.

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Correct Answer is D

Explanation

A. Bimanual palpation is used to assess organs or masses, not pulse.

B. Deep palpation is used to feel internal organs and not appropriate for assessing pulse.

C. Percussion is used to assess the density of body tissues, not for pulse assessment.

D. Light palpation is the correct technique for assessing a client's pulse, allowing the nurse to feel the arterial pulse.

A. Elevated glucose levels B. Dysrhythmias C. Elevated blood pressure D. Impaired airway

Correct Answer is A

Explanation

A. Hydrochlorothiazide is known to increase blood glucose levels, particularly in clients with diabetes or those at risk for glucose intolerance.

B. Dysrhythmias are more commonly associated with electrolyte imbalances like low potassium, but elevated glucose is more specific to hydrochlorothiazide use.

C. Hydrochlorothiazide typically lowers blood pressure, so elevated blood pressure is not a common nontherapeutic response.

D. Impaired airway is unrelated to hydrochlorothiazide use.

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The nurse is preparing to assess the sinuses of an adult client using direct percussion. Which technique is the most appropriate for this assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What physical assessment technique would the nurse use to obtain a pulse on a client?

Correct Answer is D

Explanation

A client is receiving the diuretic hydrochlorothiazide. When evaluating the client's response to hydrochlorothiazide, which common nontherapeutic response is important for the nurse to monitor?

Correct Answer is A

Explanation

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