The nurse is examining a client's neck. Which of the following would the nurse use as the correct method to palpate the trachea? Standard Text: Select all that apply
1. Palpate while the client is swallowing.
2. Slide the thumb and index finger upward on each side of the trachea.
3. Palpate the midline of the neck to feel the cricoid cartilage.
4. Ask the client to open and close her mouth.
5. Stand behind the client and ask her to turn her head.
1,2,3
Rationale 1: Palpate while the client is swallowing. The nurse should confirm that the hyoid bone and tracheal cartilages move up when the client swallows.
Rationale 2: Slide the thumb and index finger upward on each side of the trachea. The nurse should use his thumb and index finger to identify the thyroid cartilage as he slides these fingers up the client's neck.
Rationale 3: Palpate the midline of the neck to feel the cricoid cartilage. The trachea should be midline. The C rings are also called cricoid cartilage.
Rationale 4: Ask the client to open and close her mouth. The client should be asked to open and close her mouth during inspected and palpation of the temporomandibular joint.
Rationale 5: Stand behind the client and ask her to turn her head. The range of motion of the client's neck can be partially assessed in this manner.
You might also like to view...
While attempting to resolve an adolescent's current health problems the population nurse decides to screen for problems that could affect functioning in school. Which screenings should the nurse implement with this adolescent? (Select all that apply.)
1. Vision. 2. Hearing. 3. Substance use. 4. Driving safety. 5. Safety in sports.
Admission assessment reveals these patient findings. The nurse would consider which results as indicating metabolic syndrome education should be provided? Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply. 1. Female gender, waist circumference of 78.5 cm 2. Swelling of thighs and lower extremities 3. Blood pressure 166/84 4. Triglyceride levels 325 mg/dL 5. Fasting glucose of 110 mg/dL
Which reference citation indicates a secondary source?
1. Short, S., Hall, C., Engel, S., & Nigel, C. (2004). Exercise imagery and the stages of change. Journal of Mental Imagery, 28(1,2), 61–78. 2. Jansen, C. E., Miaskowski, C., Dodd, J. S., & Dowling, G. (2005). Chemotherapy-induced cognitive impairment in women with breast cancer: A critique of the literature. Oncology Nursing Forum, 32(2), 329–342. 3. Miaskowski, C. J. (2000). Improving pain management: An ongoing journey. Oncology Nursing Forum, 27(6), 938–944. 4. Loegering, L., Reiter, R., & Gambone, J. (1994). Measuring the quality of health care. Clinical Obstetrics & Gynecology, 37(1), 122–136.
The client who is competent to give an informed consent should be able to:
A) Speak coherent English. B) Communicate his or her choices. C) Write a "living will." D) Comply with the medical regimen.