What is the correct and complete group of descriptions you would use to document a wound?

Choice A reason: Joint deformity is an unexpected musculoskeletal finding, indicating conditions like arthritis or trauma, requiring intervention. Symmetrical movement is normal. Assuming deformity is expected risks neglecting serious issues, delaying treatments like physical therapy or surgery, critical for restoring function and preventing disability in affected patients.

Choice B reason: Symmetrical degrees of movement are expected in musculoskeletal assessments, indicating normal joint function and muscle strength. Asymmetry, deformity, or limited movement are abnormal. Recognizing this ensures focus on true abnormalities, guiding accurate diagnosis and interventions for musculoskeletal issues, critical for maintaining mobility and function in patients.

Choice C reason: Limited ability to complete maneuvers is an unexpected finding, suggesting joint stiffness, pain, or weakness, possibly from arthritis or injury. Symmetrical movement is normal. Assuming this is expected risks missing treatable conditions, delaying interventions like therapy or medication, critical for improving musculoskeletal function and patient quality of life.

Choice D reason: Differences in movement between right and left sides are unexpected, indicating asymmetry from conditions like stroke or injury. Symmetrical movement is normal. Assuming asymmetry is expected risks overlooking neurological or musculoskeletal issues, delaying diagnosis and rehabilitation, critical for restoring balanced function in patients with movement disparities.

Choice A reason: Percussion involves tapping to assess underlying structures, commonly used for lung or abdominal assessments. In breast assessment, it is not relevant, as it cannot evaluate tissue density or detect masses. Breast examination relies on visual inspection and palpation to identify abnormalities like lumps or skin changes, making percussion inappropriate.

Choice B reason: Inspection is a critical technique in breast assessment, involving visual examination for asymmetry, skin changes, nipple discharge, or dimpling. It precedes palpation to identify visible abnormalities. This method is non-invasive and essential for detecting early signs of breast conditions, such as cancer, aligning with standard clinical protocols for thorough evaluation.

Choice C reason: Doppler ultrasound assesses blood flow, often used in vascular or fetal monitoring, but is not standard for breast assessment. Breast examination uses inspection and palpation, with imaging like mammography for deeper evaluation. Doppler’s role in breast care is limited to specialized diagnostics, not routine physical assessments, making it an incorrect choice.

Choice D reason: Sterile gloves are used for invasive procedures like wound care, not routine breast assessments, which require clean gloves for palpation. Inspection and palpation are primary techniques, and sterile conditions are unnecessary unless performing a biopsy. This choice does not align with standard breast examination practices.