A nurse practitioner's assessment of a new patient includes each of the four basic assessment techniques. When using percussion, which of the following is the nurse able to assess?
A) Borders of the patient's heart
B) Movement of the patient's diaphragm during expiration
C) Borders of the patient's liver
D) The presence of rectal distension
Ans: A
Feedback:
Percussion allows the examiner to assess such normal anatomic details as the borders of the heart and the movement of the diaphragm during inspiration. Movement of the diaphragm, delineation of the liver and the presence of rectal distention cannot be assessed by percussion.
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