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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. 2-20 – This range is too low to be considered normal.

B. 4-32 – This range is broader than the commonly accepted normal range.

C. 2-10 – This range is too low and may indicate hypomotility.

D. 5-30 – The normal rate of bowel sounds is typically 5 to 30 sounds per minute, with variations depending on individual digestion and activity.

A. acute disease B. functional disease C. chronic disease D. organic disease

Correct Answer is D

Explanation

A. Acute disease – An acute disease has a sudden onset and short duration, but it does not necessarily involve structural changes in an organ.

B. Functional disease – A functional disease affects organ function but does not involve structural changes. Examples include irritable bowel syndrome (IBS) or migraines.

C. Chronic disease – A chronic disease persists for a long time but may or may not involve structural changes in an organ.

D. Organic disease – Organic diseases cause structural changes in an organ that lead to impaired function. Examples include cirrhosis of the liver or heart failure.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Listening for bowel sounds is done over all four quadrants of the abdomen using the diaphragm of the stethoscope. The normal rate of bowel sounds per minute is:

Correct Answer is D

Explanation

When a disease results in a structural change in an organ that interferes with its functioning, this is a/an:

Correct Answer is D

Explanation

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