A client has a reddened area on the left forearm. Which of the following assessment techniques should the nurse use to assess this area?
1. Percussion
2. Light palpation
3. Moderate palpation
4. Deep palpation
2
Rationale 1: Percussion is used to determine the size and shape of organs and masses and whether underlying tissue is solid or filled with air or fluid.
Rationale 2: Light palpation is used to assess surface characteristics, such as skin texture, pulse, or a tender, inflamed area near the surface of the skin.
Rationale 3: Moderate palpation is used to assess most of the other structures of the body.
Rationale 4: Deep palpation is used to assess an organ that lies deep within a body cavity.
You might also like to view...
The patient is undergoing myelography to evaluate his back pain. What are appropriate nursing interventions? Select all that apply
A) Elevate the head of the bed to 30 to 45 degrees B) Restrict total fluid intake C) Avoid phenothiazines D) Institute seizure precautions E) Initiate ambulation immediately F) Turn, cough, and deep breathe every 2 hours
The parent of an 8.2-kg (18-lb) 9-month-old infant is borrowing a federally approved car seat from the clinic. The nurse should explain that the safest way to put in the car seat is what?
a. Front facing in back seat b. Rear facing in back seat c. Front facing in front seat with air bag on passenger side d. Rear facing in front seat if an air bag is on the passenger side
The client with a herniated disc is about to be discharged after having a percutaneous laser disc decompression. What postprocedure instructions should the nurse provide to this client?
A. "You should rest in bed for 24 hours before beginning ambulation." B. "You must sleep in a supine position until the bandage is removed." C. "You may feel numbness or tingling in the legs." D. "You will need to wear a brace for 1 week."
During a "Health Promotion" class at a senior citizen center, one of the elderly attendees asks the nurse teaching the class, "I know older persons fall frequently
What types of fractures are most common in people in our age group?" Select the type of fracture the elderly most often expe-rience. a. Pelvis b. Lumbar spine c. Hand and wrist d. Tibia