The nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations?
Palpation
Auscultation
Percussion
Inspection
The Correct Answer is A
A. Palpation:
This technique allows the nurse to feel texture, temperature, tenderness, swelling, pulsations, and crepitus.
B. Auscultation:
Involves listening to body sounds, not touching or feeling structures.
C. Percussion:
Used to tap body surfaces to assess underlying structures (e.g., fluid vs air), not for crepitus or swelling.
D. Inspection:
Visual observation-can reveal swelling but cannot detect pulsations or crepitus, which require tactile sensation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Pain is not a normal process of aging and can indicate injury.":
Pain should always be assessed; it is not a typical or expected result of aging.
B. "Older adults must learn to tolerate pain.":
Incorrect and dismissive. Pain management is essential regardless of age.
C. "Pain is a normal process of aging and is to be expected.":
Misconception. Pain is often underreported in older adults but is not normal or acceptable.
D. "Older adults perceive pain to a lesser degree compared with younger individuals.":
False. Pain perception may change, but older adults still feel pain and may underreport it.
Correct Answer is D
Explanation
A. "...indicates that air is present in the subcutaneous tissues.":
Describes subcutaneous emphysema, not fremitus.
B. "...reflects the blood flow through the pulmonary arteries.":
Fremitus is not related to circulation.
C. "...is caused by moisture in the alveoli.":
Moisture in alveoli causes crackles, not tactile fremitus.
D. "...is caused by sounds generated from the larynx.":
Fremitus is the palpable vibration produced by vocalization, transmitted through bronchopulmonary tissues to the chest wall.
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