The nurse is using a stethoscope to assess a patient's cardiac status. This assessment technique is known as:

a. inspection.
b. percussion.
c. palpation.
d. auscultation.


ANS: D
Auscultation is a technique of listening with the assistance of a stethoscope to sounds made by organs or systems such as the heart, blood vessels, lungs, and abdominal cavity. Inspection involves the use of vision, hearing, and smell to closely scrutinize physical characteristics of a whole person and individual body systems. Percussion involves tapping the patient's skin with short, sharp strokes that cause a vibration to travel through the skin and to the upper layers of the underlying structures. Vibration is reflected by the tissues, and the character of the sound heard depends on the density of the structures that reflect the sound. Palpation uses touch to assess body organs and skin texture, temperature, moisture, turgor, tenderness, and thickness.

Nursing

You might also like to view...

The nurse should instruct the caregivers of a 5-year-old client who has been diagnosed with upper respiratory infection to:

a. use nonsalicylate antipyretics such as acetaminophen for fever b. wear a surgical mask when attending to the child c. offer the child high-calorie milk-based feedings d. use an over-the-counter nasal spray after feedings

Nursing

The primary function of the large intestine is to absorb nutrients from chyme

Indicate whether the statement is true or false

Nursing

The nurse investigating environmental health problems caused by contaminated ground water is best described as practicing:

a. Community-oriented nursing b. Community-based nursing c. Policy development d. Tertiary care

Nursing

The nurse is analyzing a patient's telemetry strip and observes a sawtooth appearance with no P waves. How should the nurse document this finding?

a. Premature ventricular contraction (PVC) b. Atrial flutter c. Ventricular tachycardia (VT) d. Premature atrial contraction (PAC)

Nursing