The nurse is percussing over the client's symphysis pubis area and notes a dull tone. The nurse understands that this represents which of the following?
1. The right kidney
2. A full bladder
3. A bladder tumor
4. Air trapped in the intestines
2
Rationale 1: While percussion of the kidney does produce a dull tone, the right kidney would lie superior and to the right of the bladder, rather than in the symphysis pubis area.
Rationale 2: The bladder lies in the symphysis pubis area and percussion over a full bladder produces a dull tone.
Rationale 3: The nurse would be unable to determine presence of a bladder tumor by percussion.
Rationale 4: Air trapped in the intestines would produce tympany.
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The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile fremitus? "Tactile fremitus:
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The nurse is completing a current list of medications with a client. Which of the following should be included in this list?
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