The nurse is preparing to perform a physical assessment.
Which statement is true about the physical assessment? The inspection phase:
It may be somewhat uncomfortable for the expert practitioner.
Requires a quick glance at the patient's body systems before proceeding with palpation.
Takes time and reveals a surprising amount of information.
Usually yields little information.
The Correct Answer is C
Choice A rationale
Inspection, as the initial assessment technique, relies on keen observation and often feels natural and comfortable for experienced practitioners. Expertise enhances the ability to systematically identify subtle visual cues, skin color changes, or movement abnormalities. The discomfort suggestion is incongruent with the skilled and focused nature of effective clinical inspection.
Choice B rationale
Inspection demands a comprehensive, unhurried visual assessment, not just a quick glance. A thorough inspection involves observing body systems methodically, noting details like symmetry, posture, gait, and superficial lesions. Rushing this phase can lead to missed crucial information, as many conditions present with visible signs that require careful scrutiny.
Choice C rationale
The inspection phase is foundational and remarkably informative, providing extensive data through meticulous observation of visible characteristics. It encompasses general appearance, facial expressions, body symmetry, skin condition, and respiratory effort. This detailed visual survey often reveals significant diagnostic clues even before physical contact, guiding subsequent assessment steps.
Choice D rationale
Inspection is an exceptionally rich source of information, contrary to yielding little. It provides a holistic view of the patient's immediate condition, including their overall demeanor, signs of distress, nutritional status, and any overt physical abnormalities. Many diagnoses are initially suggested or confirmed through careful visual inspection, making it indispensable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A 10-15 degree angle is used for intradermal injections, where the medication is deposited just beneath the epidermis, creating a bleb or wheal. This shallow angle ensures the medication remains within the superficial layers of the skin for diagnostic purposes like allergy testing.
Choice B rationale
Intramuscular injections are administered at a 90-degree angle to ensure the needle penetrates deeply into the muscle tissue, bypassing the subcutaneous layer. This angle facilitates rapid absorption into the well-vascularized muscle and minimizes the risk of medication leakage into the subcutaneous tissue or irritation.
Choice C rationale
A 45-degree angle is typically used for subcutaneous injections, where the medication is deposited into the adipose tissue beneath the dermis. This angle is chosen to avoid injecting into muscle while still reaching the subcutaneous layer for systemic absorption.
Choice D rationale
A 60-degree angle is not a standard injection angle for common parenteral routes. The primary angles used for injections are 10-15 degrees (intradermal), 45 degrees (subcutaneous), and 90 degrees (intramuscular). Deviating from standard angles can compromise medication delivery and patient safety.
Correct Answer is ["180"]
Explanation
Step 1 is: Convert grains to milligrams using the conversion factor 1 grain = 60 mg. 3 gr × 60 mg/gr = 180 mg. Final calculated answer: 180 mg
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