The nurse is preparing to assess a patient's integumentary status. Which techniques should the nurse use to conduct this assessment?
1. inspection
2. inspection and percussion
3. inspection and palpation
4. percussion and palpation
Correct Answer: 3
Physical assessment of the skin, hair, and nails is conducted by inspection and palpation. Percussion employs tapping to assess structures beneath the skin's surface.
You might also like to view...
A nurse discovers that a person is being abused. What should the nurse do to prevent the abuse from continuing? (Select all that apply.)
1. Appropriate assessment 2. Verbalize to the victim that he or she is a good person and the abuser is the bad person 3. Documentation 4. Intervention 5. Know the laws associated with reporting abuse
A client has been taught relaxation exercises before beginning a painful procedure. What chemicals are believed to be released in the body during relaxation to relieve pain?
A) Narcotics B) Sedatives C) A-delta fibers D) Endorphins
A client is receiving medication for a hookworm infection. In planning education for the client, the nurse knows it is essential to include which client-centered points?
Standard Text: Select all that apply. 1. Stop taking the medication when feeling better 2. Do not share doses with other family members with similar symptoms 3. Return to the health care provider if symptoms have not subsided after a full course of treatment 4. Report any fever that does not subside in 3 days 5. Report any increasing symptoms
The nurse assesses a patient for signs of meningeal irritation and observes for nuchal rigidity. What indicates the presence of this sign of meningeal irritation?
A. Tonic spasms of the legs B. Curling in a fetal position C. Arching of the neck and back D. Resistance to flexion of the neck