The nurse percusses the client's abdomen. Which piece of information accurately reflects that tympany is present?
1. "The sound is low-pitched, loud, and hollow-sounding."
2. "It is a high-pitched, soft sound that doesn't last very long."
3. "The sound is very loud and has a low tone. The sound has a long duration."
4. "It sounds like a drum, is loud, and high-pitched."
Correct Answer: 4
Tympany is a loud, high-pitched, drum-like tone that can be heard when percussing an organ that is filled with air. When percussing the abdomen, tympany is normally present because the intestines are hollow and filled with air. Resonance is a low-pitched, hollow sound that is loud. Resonance is often heard when percussing the lungs. Dullness is a high-pitched sound with a short duration. Dullness can be heard when percussing over solid body organs. Hyperresonance is an abnormally loud, low-toned sound that has a long duration. It is associated with trapped air.
You might also like to view...
A patient has been prescribed an antihistamine for treatment of allergic rhinitis. What statements by the patient indicate an understanding of this medication? (Select all that apply.)
A) "This medication will work best if I take it before I eat anything." B) "I need to drink less fluid while I take this medication to help reduce the amount of mucus I have." C) "I will use sugarless candies to help with the feelings of a dry mouth." D) "I will use a humidifier in the bedroom while I sleep." E) "This medication will probably cause my appetite to increase."
The long-term asthmatic patient develops Cushing's syndrome. The nurse explains that this condition is probably the result of:
1. his taking corticosteroids for many years. 2. an abrupt withdrawal of cortisone therapy. 3. the lack of adrenocorticotropic hormone related to his pituitary gland. 4. poorly functioning adrenal glands.
For which reasons would a nurse review infant mortality statistics in the United States? (Select all that apply.)
A) Measures the quality of pregnancy care B) Reviews information on overall nutrition C) Compares health with those of other states D) Determines infant health and available care E) Provides an index of the country's general health
The patient is to receive 2 units of packed RBCs. Before administering the blood, what does the nurse need to do? (Select all that apply.)
a. Insert an 18-gauge IV cannula. b. Have the patient complete a consent form. c. Obtain pretransfusion vital signs. d. Notify the physician for a temperature of 37° C.