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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The dorsal surface of the hand is used for assessing temperature, not palpation.
B. The fingertips and palmar surface are used for deep palpation, not light palpation.
C. The palmar surface of the fingers can be used, but the finger pads provide more sensitivity for light palpation, especially when assessing the abdomen.
D. Finger pads are the best part of the hand for light palpation as they allow the nurse to assess tenderness and abdominal consistency accurately.
Correct Answer is C
Explanation
A. The overweight category is defined as a BMI between 25 and 29.9.
B. The obese category is defined as a BMI of 30 or above.
C. A BMI below 18.5 is considered underweight, which applies to this client with a BMI of 18.0.
D. A healthy weight category is defined as a BMI between 18.5 and 24.9.
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