You would assess for costovertebral angle tenderness while assessing the
a. anterior thorax. c. neck.
b. back, and posterior and lateral thorax. d. upper extremities.
B
Palpate the costovertebral angle (CVA). Percuss the CVA with your fist immediately after performing the diaphragmatic excursion while examining the back, and the posterior and lateral thorax. Anterior thorax follows the back, the neck and upper extremities proceed the back.
You might also like to view...
When caring for a client who is receiving external beam radiation, which is the key point for the nurse to incorporate into the plan of care?
A) Time, distance, and shielding B) The use of disposable utensils and wash cloths C) Avoid showering or washing over skin markings. D) Inspect the skin frequently.
A patient with asthma comes to a clinic for treatment of an asthma exacerbation. The patient uses an inhaled glucocorticoid, montelukast (Singulair), and a SABA via MDI
The nurse assesses the patient and notes a respiratory rate of 18 breaths per minute, a heart rate of 96 beats per minute, and an oxygen saturation of 95%. The nurse auscultates mild expiratory wheezes and equal breath sounds bilaterally. What will the nurse do? a. Contact the provider to request a systemic glucocorticoid. b. Contact the provider to suggest using a long-acting beta2 agonist. c. Evaluate the need for teaching about MDI use. d. Question the patient about how much albuterol has been used.
An adult admitted to the hospital after a stroke does not respond to verbal stimuli. What should the nurse do next to try to provoke a response?
a. Apply pressure to the mandible at the jaw. b. Rub the patient's sternum. c. Squeeze the trapezius muscle. d. Gently shake the patient's shoulder.
An African American patient has an ashen cast to normally black skin. Which laboratory test results should the nurse review to determine a possible cause of the skin color change?
A. Oxygen saturation and red blood cell count B. BUN and creatinine C. Hemoglobin and hematocrit D. Bilirubin and serum potassium