The nurse is explaining to the client the role of inspection during an assessment. Which client statement indicates understanding about this assessment technique?

Question

1. "So, you are going to listen to my heart."
2. "So, you will be touching my abdomen."
3. "So, you will be looking at my skin."
4. "So, you are going tap my abdomen."

Answer 1

3
Rationale 1: Auscultation is the actual listening technique used in assessment.
Rationale 2: The palpation of the abdomen allows for a better assessment of those organs located in the abdomen..
Rationale 3: Looking at the client's skin is inspection. This statement indicates that the client has understood this portion of the assessment.
Rationale 4: Tapping the abdomen describes percussion that is used to determine size of various organs.
Global Rationale: Looking at the client's skin is inspection. This statement indicates that the client has understood this portion of the assessment. The other statements would indicate understanding of other portions of the assessment, which include auscultation, palpation, and percussion.