A nurse is auscultating different areas on an adult patient. Which technique should the nurse use during an assessment?
a. Uses the bell to listen for lung sounds
b. Uses the diaphragm to listen for bruits
c. Uses the diaphragm to listen for bowel sounds
d. Uses the bell to listen for high-pitched murmurs
ANS: C
The bell is best for hearing low-pitched sounds such as vascular (bruits) and certain heart sounds (low-pitched murmurs), and the diaphragm is best for listening to high-pitched sounds such as bowel and lung sounds and high-pitched murmurs.
You might also like to view...
The nurse knows the most appropriate goal for a patient with a stage III pressure ulcer who has a nursing diagnosis of Impaired skin integrity is:
a. the wound will be completely healed in 72 hours. b. the wound will show signs of healing within 2 weeks. c. the patient will develop no new pressure ulcers. d. the patient will ambulate twice a day.
The nurse is caring for a patient with an acute infection that resulted in an immune reaction. What symptoms exhibited by the patient would the nurse recognize as being caused by interleukins? (Select all that apply.)
A) Fever B) Joint pain C) Muscle pain D) Hyperactivity E) Insomnia
Which comfort measure should a nurse use to assist a laboring woman to relax?
a. Keep the room lights lit so the client and her coach can see everything. b. Offer warm, wet cloths to use on the client's face and neck. c. Palpate her filling bladder every 15 minutes. d. Recommend frequent position changes.
Which of the following is not a word used to describe a category (or type) of nonexperimental research?
A. survey research B. correlational study C. intervention study D. retrospective study