Palpation is a necessary skill in nursing. Many of the body's structures, even though they are not visible, can be assessed through palpation. Which structures would be included in assessment by palpation?
A) Intestines
B) Muscles
C) Thyroid gland
D) Pancreas
Ans: C
Feedback: Many structures of the body, although not visible, may be assessed through the techniques of light and deep palpation. Examples include the superficial blood vessels, lymph nodes, thyroid gland, organs of the abdomen and pelvis, and rectum. The intestines, muscles, and pancreas cannot be assessed through palpation.
You might also like to view...
An older person with a spinal cord injury wishes to be taken off of life support three months after his injury occurred. The physician will not allow this or sign the order for it. What two principles are in conflict in this situation?
a. autonomy versus paternalism b. autonomy versus justice c. nonmaleficence versus beneficence d. veracity versus fidelity
A woman undergoing evaluation of infertility states, "At least when we're through with all of these tests, we will know what is wrong." The nurse's best response is:
a. "I know the test will identify what is wrong." b. "I'm sure that once you finish these tests, your problem will be resolved." c. "Even with diagnostic testing, infertility remains unexplained in about 20% of couples." d. "Once you've identified your problem, you may want to look at the option of adoption."
The nurse is preparing a postoperative hip replacement client to attend physical therapy. Which of the following should the nurse do to ensure the client's comfort during therapy?
1. Medicate for pain immediately after therapy 2. Medicate for pain 3 hours before therapy 3. Medicate for pain immediately before going to therapy 4. Apply ice to the surgical site after therapy
The nurse calls a physician to come to the unit to assess a patient. Which of the following is the most effective telephone communication by the nurse?
a. "This is the 4100 unit troublemaker again. You probably ought to come to the unit to see Mr. Samuels. His condition doesn't seem right.". b. "This is Ann Allen on 4100 . I don't quite know what to think about Mr. Samuels. I think his condition is deteriorating, and I'd like to have you see him.". c. "Sorry to bother you. This may not be important, but I'm not completely com-fortable with Mr. Samuel's response to care. His blood pressure has dropped, and his pulse is elevated.". d. "This is Sheila Ryan on 4100 calling re-garding your patient, Mr. Samuels. His BP has dropped from 130/90 at 8 am to 100/70 at 10 am. His pulse has risen from 80 to 100, and he seems restless. He re-ceived his 8 am Cardizem.".