The nurse completes palpation of the thoracic region on an adolescent client. Which finding is considered normal for this adolescent client?

Bulges.

Nontender.

Tenderness.

Thrill.

Answer and Explanation

The Correct Answer is B

A. Bulges. Bulges might indicate abnormalities such as masses or hernias and are not considered normal findings.

B. Nontender. This is the expected finding in a healthy individual without thoracic abnormalities.

C. Tenderness. Tenderness might indicate inflammation, injury, or other underlying conditions and should be further assessed.

D. Thrill. Thrill refers to a vibrating sensation caused by turbulent blood flow and is not typically assessed during thoracic palpation.

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Correct Answer is C

Explanation

A. Compress the tissue around the ankles: Compressing the tissue around the ankles can assess for edema but does not provide direct information about arterial circulation.

B. Observe plantar flexion and dorsiflexion: Observing plantar flexion and dorsiflexion assesses motor function and muscle strength but does not directly assess arterial circulation.

C. Palpate the volume of the pedal pulses: Palpating pedal pulses is a direct method to assess arterial blood flow to the lower extremities. It provides information about the strength and quality of arterial circulation.

D. Stroke the soles and note toe movement: Stroking the soles and noting toe movement is the Babinski reflex test, which assesses neurological function, not arterial circulation.

A. Vaginal discharge, presence of genital warts, abdominal tenderness. B. Urinary frequency, unsteady gait, dental enamel erosion. C. Breast tenderness, tremors, high blood pressure. D. Body weight, hirsutism, thyroid enlargement.

Correct Answer is D

Explanation

A. Vaginal discharge, presence of genital warts, abdominal tenderness: While assessing for vaginal discharge and genital warts is important, they are not directly related to the menstrual irregularity described by the client. Abdominal tenderness may be relevant but is not the priority.

B. Urinary frequency, unsteady gait, dental enamel erosion: These symptoms are not specifically associated with missed periods. They may indicate other health issues, but they do not address the primary concern.

C. Breast tenderness, tremors, high blood pressure: Breast tenderness can be related to hormonal changes and menstrual irregularities. Tremors and high blood pressure are less likely to be directly connected to missed periods but should still be assessed.

D. Body weight, hirsutism, thyroid enlargement: Hirsutism (excessive hair growth) and thyroid enlargement (goiter) can be associated with hormonal imbalances, including conditions affecting the menstrual cycle. Assessing body weight is also relevant.

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The nurse completes palpation of the thoracic region on an adolescent client. Which finding is considered normal for this adolescent client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To compare arterial circulation in a client's lower extremities, which assessment should the nurse complete?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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