The nurse is utilizing the technique of inspection during a physical examination with a client. When using this technique, the nurse will:
1. Visually observe a body area.
2. Obtain information through the sense of smell.
3. Obtain information through the sense of hearing.
4. Examine the body through the use of touch.
5. Strike the body to elicit a sound from a body part.
Correct Answer: 1,2,3
Rationale 1: When using inspection, the nurse will visually observe a body area.
Rationale 2: In addition to visual observation, olfactory cues are noted.
Rationale 3: In addition to visual observation, auditory cues are noted.
Rationale 4: Examining the body through use of touch describes palpation.
Rationale 5: Striking the body to elicit a sound from a body part describes percussion.
You might also like to view...
A patient has been administered heparin to prevent thromboembolism development status postmyocardial infarction. The patient develops heparin-induced thrombocytopenia. Which of the following medications will be administered?
A) Argatroban (Acova) B) Vitamin K C) Calcium gluconate D) Aminocaproic acid (Amicar)
A patient with chronic kidney disease has a serum potassium level of 5 mEq/L and no changes on the ECG. What is the proper nursing intervention?
A) Administer sodium polystyrene as an enema. B) Administer IV calcium gluconate. C) Administer IV insulin and dextrose. D) Begin dialysis.
The nurse receives an order to begin a dopamine (Intropin) infusion at 5 mcg/kg/min. The patient weighs 50 kg. Each milliliter of solution contains 3 mg of dopamine. How many mL/h will the nurse set the pump to deliver?
A) 3 mL/h B) 5 mL/h C) 3,000 mL/h D) 83.3 mL/h
Nurse managers often have a large span of control, which contributes to a heavy workload and leaves little time to think about problems. What other factor compounds a nurse manager's ability to find or implement a good solution to a problem?
a. interprofessional team b. shared governance c. "wicked" problems d. vertical integration