The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?
"We need to determine the areas of tenderness before using percussion and palpation."
"Auscultation allows the patient more time to relax and therefore be more comfortable with the physical examination."
"Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation."
"Auscultation prevents distortion of vascular sounds, such as bruits and hums, that might occur after percussion and palpation."
The Correct Answer is C
A. Determine areas of tenderness: While identifying tenderness is important, it is not the reason for auscultating first.
B. Allows the patient to relax: Relaxation is helpful but not the primary reason for the sequence.
C. Prevents distortion of bowel sounds: Percussion and palpation can stimulate or suppress bowel sounds, leading to inaccurate findings if performed before auscultation.
D. Prevents distortion of vascular sounds: Vascular sounds (bruits) are less likely to be affected by percussion or palpation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E","H","I"]
Explanation
A. Low-fat diet: This reduces the risk of arterial insufficiency, making it incorrect as a risk factor.
B. Diabetes mellitus: Diabetes is a significant risk factor due to its effects on vascular health.
C. Decreased lipid levels: Lower lipid levels reduce arterial risk, making it incorrect as a risk factor.
D. Smoking: Smoking damages blood vessels and increases arterial insufficiency risk.
E. Heavy alcohol use: Excessive alcohol consumption contributes to hypertension and cardiovascular disease.
F. Physical activity: Physical activity reduces arterial risk, making it incorrect as a risk factor.
G. Hypertension: High blood pressure increases arterial insufficiency risk.
H. Male: Males have a higher risk of developing arterial insufficiency than females.
I. Obesity: Obesity increases the risk of atherosclerosis and arterial insufficiency.
Correct Answer is B
Explanation
A. Older adult taking anticoagulant medication: Anticoagulants reduce the risk of thrombosis.
B. Person who has been on bed rest for 4 days: Prolonged immobility reduces muscle contraction, leading to decreased venous return and increased risk of venous stasis and DVT.
C. Person with a 30-year smoking habit: Smoking is a risk factor for arterial disease rather than venous disease.
D. Woman in her second month of pregnancy: Pregnancy increases venous pressure but is more significant in the third trimester.
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