When performing a physical examination of the patient, the nurse uses a technique that is particularly useful in identifying areas of tenderness. This technique is:
percussion
palpation
auscultation
Inspection
The Correct Answer is B
A. Percussion – Percussion helps assess the size, location, and density of organs but is not the primary technique for identifying tenderness.
B. Palpation – Palpation involves using the hands to assess for tenderness, swelling, temperature changes, and masses. It is the most effective method for detecting areas of tenderness.
C. Auscultation – Auscultation involves listening to internal body sounds, such as heart, lung, and bowel sounds, and does not assess tenderness.
D. Inspection – Inspection is visual observation of the body for abnormalities but does not involve physically assessing for tenderness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","F"]
Explanation
A. Dizziness, especially when rising from a sitting position – Dizziness is a subjective symptom reported by the patient rather than an objectively observed sign.
B. Blood pressure 145/84 – Blood pressure is an objective measurement and is considered a sign because it can be directly observed and recorded.
C. Unexplained weight gain since his last clinic visit 1 month ago – Weight gain is a measurable and observable change, making it a sign, especially in conditions like heart failure.
D. Exertional dyspnea – Exertional dyspnea (shortness of breath with activity) is a subjective experience reported by the patient, making it a symptom rather than a sign.
E. Has been sleeping on 2 pillows for the past 2 weeks – The need for multiple pillows to relieve breathing difficulty (orthopnea) is a subjective symptom, not an observable sign.
F. 2+ edema in J.M.'s legs – Edema (swelling) is an observable physical finding, making it a sign. It is commonly associated with heart failure and fluid retention.
Correct Answer is D
Explanation
A. Apnea – Apnea refers to the temporary cessation of breathing, not rapid breathing.
B. Orthopnea – Orthopnea is difficulty breathing while lying flat, not an increased respiratory rate.
C. Dyspnea – Dyspnea is the sensation of difficult or labored breathing, not necessarily rapid breathing.
D. Tachypnea – Tachypnea is an abnormally fast respiratory rate, often seen in conditions like fever, anxiety, or respiratory distress.
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