The nurse is visiting the patient for the first time this shift. She introduces herself and asks the patient several questions related to his condition
While doing so, and without being obvious, she is looking at the color of his eyes and is assessing his ears and nose for discharge and the symmetry of his mouth. Which assessment technique is the nurse using? a. Palpation
b. Percussion
c. Inspection
d. Auscultation
C
Inspection is the visual examination of body parts or areas. An experienced nurse learns to make multiple observations, almost simultaneously, while becoming very perceptive of abnormalities. Palpation uses the sense of touch. Percussion involves tapping the body with the fingertips to evaluate the size, borders, and consistency of body organs and to discover fluid in body cavities. Auscultation is listening with a stethoscope to sounds produced by the body.
You might also like to view...
A school nurse is teaching a group of adolescents about adequate nutrition. What increased intake should the nurse encourage?
a. Potassium and sodium b. Chloride and magnesium c. Iron and calcium d. Vitamins and minerals
For a hospitalized client who experienced a sudden arterial occlusion yesterday, the nurse would review the chart for a history of
a. atrial fibrillation. b. hypertension. c. iron deficiency anemia. d. oral contraceptive use.
A pediatric nurse working in a mental health clinic is caring for a 10-year-old child who exhibits signs of depression. The nurse knows that these signs include:
Select all answers that apply. A) persistent sad or irritable mood. B) exaggerated feelings of self-worth. C) increased interest in activities and hobbies. D) significant change in appetite or body weight.
In which situation does the use of key words provide better results than a controlled vocabulary search?
a. finding standardized hierarchical lists that represent major subject concepts b. searching full text or citation records c. searching for a particular subject d. searching for exact matches