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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 ["B","C","E"]

Explanation

A. Taking electrolyte supplements would likely prevent hypokalemia unless the intake is insufficient.

B. High blood glucose levels can lead to osmotic diuresis, causing loss of potassium through urine.

C. Vomiting results in loss of potassium and other electrolytes, leading to hypokalemia.

D. Green leafy vegetables are rich in potassium and would help maintain potassium levels rather than deplete them.

E. Diarrhea leads to excessive potassium loss, contributing to hypokalemia.

A. stridor B. crackles C. rhonchi D. wheeze

Correct Answer is C

Explanation

A. Stridor is a high-pitched sound typically heard in cases of airway obstruction.

B. Crackles are discontinuous sounds often associated with fluid in the alveoli.

C. Rhonchi are low-pitched, continuous sounds with a snoring quality, usually caused by secretions in the larger airways.

D. Wheezing is a high-pitched, continuous sound associated with narrowed airways.

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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

A nurse is obtaining a health history from a client that has a serum potassium level of 3.2 mEq (3.5-5.0 mEq). What statements made by the client indicate a potential cause of this clinical manifestation? Select All That Apply.

Correct Answer is ["B","C","E"]

Explanation

Upon auscultating a client's lungs, the nurse notes there is a low-pitched, continuous respiratory sound that has a snoring quality. How should the nurse interpret and document the findings?

Correct Answer is C

Explanation

The nurse in the trauma unit has received a report on a client who has multiple injuries as a result of a motor vehicle crash. Which action should the nurse plan to take first?

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The nurse is developing a plan of care for a client who will be admitted to the medical-surgical unit with a diagnosis of deep vein thrombosis (DVT) of the right leg. What should be included in the client's care plan?

While conducting a focused neurological assessment, the nurse includes testing the function of cranial nerve XI in a client. What assessment findings indicate the nerve is intact and functioning?

The nurse performs an admission assessment on a client admitted with chest pain. The nurse knows that using the bell of the stethoscope is appropriate to auscultate for which type of sounds?

The nurse caring for a newborn in the maternal-newborn unit notes the objective finding shown in the diagram. What is the appropriate nursing intervention?