In your role as a school nurse, you are performing a sports physical on a healthy adolescent girl who is planning to try out for the volleyball team. When it comes time to listen to the student's heart and lungs, what is your best nursing action?
A) Perform auscultation with the stethoscope placed firmly over her clothing to protect her privacy.
B) Perform auscultation by holding the diaphragm lightly on her clothing to eliminate the "scratchy noise."
C) Perform auscultation with the diaphragm placed firmly on her skin to minimize extra noise.
D) Defer the exam because the girl is known to be healthy and chest auscultation may cause her anxiety.
Ans: C
Feedback:
Auscultation should always be performed with the diaphragm placed firmly on the skin to minimize extra noise and with the bell lightly placed on the skin to reduce distortion caused by vibration. Placing a stethoscope over clothing limits the conduction of sound. Performing auscultation is an important part of a sports physical and should never be deferred.
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a.True b.false