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 C
Explanation
A. Tachycardia. – Tachycardia refers to a heart rate above 100 beats per minute, not a slow heart rate.
B. Tachypnea. – Tachypnea describes rapid breathing, not a slow heart rate.
C. Bradycardia. – Bradycardia is a heart rate below 60 beats per minute. It may be normal in athletes but can indicate conduction abnormalities or medication effects in other individuals.
D. Apnea. – Apnea is the absence of breathing, not a slow heart rate.
Correct Answer is C
Explanation
A. Bruits – Bruits are vascular sounds caused by turbulent blood flow, typically heard over arteries.
B. Crackles – Crackles (rales) are discontinuous, crackling breath sounds caused by fluid in the alveoli, often heard in pneumonia or heart failure.
C. Wheezing – Wheezing is a high-pitched, whistling sound heard during breathing, usually caused by narrowed airways due to asthma, bronchitis, or allergic reactions.
D. Turgor – Turgor refers to skin elasticity and is used to assess hydration status, not lung sounds.
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