Which of the following techniques is used with palpation?
Palpate the tender areas before other areas.
Use the palmar side of the hands or the pads of the fingers.
Short, quick taps is the technique used with percussion, not palpation.
Use the stethoscope during palpation.
The Correct Answer is B
Choice A reason: Palpating tender areas first may cause patient discomfort and guarding, reducing assessment accuracy. Palpation uses the palmar side or finger pads, starting with non-tender areas. Assuming this risks poor technique, potentially missing subtle findings like masses or edema, critical for comprehensive physical assessment in clinical practice.
Choice B reason: Palpation uses the palmar side of the hands or finger pads for light or deep touch to assess texture, tenderness, or masses. This technique ensures sensitivity and accuracy, detecting abnormalities like organ enlargement or fluid accumulation. Proper palpation is essential for thorough physical exams, guiding diagnosis and care planning effectively.
Choice C reason: Short, quick taps define percussion, not palpation, which involves sustained touch to assess underlying structures. Confusing these techniques risks incorrect assessment, missing findings like organ size or tenderness. Palpation’s distinct method using finger pads ensures accurate detection, critical for identifying abnormalities in physical examinations.
Choice D reason: Using a stethoscope is for auscultation, not palpation, which relies on manual touch with finger pads or palms. Assuming stethoscope use misaligns with palpation’s purpose, risking incomplete assessment of tactile findings like masses or swelling, essential for accurate diagnosis and effective patient care planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Blood pressure 127/65 and HR 68 are within normal ranges (BP <130/<80, HR 60-100), expected in healthy cardiovascular assessments. Trace edema is abnormal, suggesting fluid retention. Assuming this is unexpected risks overlooking normal findings, diverting focus from issues like edema needing evaluation in cardiovascular assessments.
Choice B reason: Trace edema in bilateral lower ankles is an unexpected finding, indicating potential fluid overload, heart failure, or venous insufficiency. Unlike normal vitals or pulses, edema requires investigation and reporting. Recognizing this ensures timely diagnosis and management, critical for preventing progression of underlying cardiovascular or systemic conditions in affected patients.
Choice C reason: Capillary refill within 2 seconds is normal, indicating adequate peripheral perfusion, expected in cardiovascular assessments. Edema is the abnormal finding. Assuming refill is unexpected risks misprioritizing normal findings, neglecting issues like edema that signal potential heart or venous issues, critical for accurate cardiovascular evaluation and care.
Choice D reason: Equal apical and radial pulses are expected, reflecting synchronized cardiac output, normal in cardiovascular assessments. Trace edema is abnormal, suggesting fluid issues. Assuming pulses are unexpected risks overlooking normal findings, diverting attention from edema, critical for identifying and managing underlying cardiovascular conditions in clinical practice.
Correct Answer is A
Explanation
Choice A reason: A friction rub is a scratching or squeaking sound from inflamed pleural surfaces, persisting throughout the respiratory cycle and unaffected by coughing, as pleural inflammation (e.g., pleurisy) causes consistent friction. Accurate recognition ensures proper reporting, guiding diagnosis and treatment of underlying conditions like pneumonia or pulmonary embolism in respiratory assessments.
Choice B reason: Assuming false is incorrect, as friction rubs indeed persist through the respiratory cycle without clearing by coughing, unlike rhonchi. Misidentifying this risks misdiagnosis, potentially overlooking pleural inflammation needing anti-inflammatory or antibiotic therapy, delaying treatment and increasing complications in patients with respiratory conditions causing friction rubs.
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