The nurse is observing the auscultation technique of a student nurse. What is the correct method to use when progressing from one auscultatory site on the thorax to another?

Top-to-bottom comparison

Posterior-to-anterior comparison

Interspace-by-interspace comparison

Side-to-side comparison

Answer and Explanation

The Correct Answer is D

A.   Top-to-bottom comparison is not the best method for auscultation. A more systematic approach is needed.
B.   Posterior-to-anterior comparison does not apply to all auscultation areas, and a consistent method across the thorax is preferred.
C.   Interspace-by-interspace comparison involves comparing sounds across different intercostal spaces but is not a method for transitioning between sites.
D.   Side-to-side comparison ensures the nurse is assessing both sides of the thorax equally and systematically, which is the correct approach.

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Correct Answer is B

Explanation

A. Increased tactile fremitus and dull percussion tones would suggest consolidation or pathology, which is not normal.
B. Muffled voice sounds and symmetric tactile fremitus are normal findings in healthy lung tissue.
C. Adventitious sounds and limited chest expansion would indicate pathology such as pneumonia or other lung diseases.
D. Absent voice sounds and hyper resonant percussion tones would be indicative of a pneumothorax or emphysema, not normal lung findings.

A. Lumped B. Unilateral C. Soft and nontender D. Firm but freely movable

Correct Answer is B

Explanation

A. Lymph nodes are usually described as enlarged or swollen, not "lumped." This term is not typically used in the description of lymphadenopathy.
B. In cases of acute infection, lymphadenopathy is most often unilateral and localized to the area of infection. For example, if there is a throat infection, the lymph nodes on the same side of the neck are more likely to be enlarged.
C. Lymph nodes that are soft and nontender are more indicative of chronic conditions such as lymphoma or metastasis. In acute infections, lymph nodes tend to be firm and tender.
D. Firm but freely movable nodes may be indicative of chronic conditions or noninfectious causes. Acute infection typically leads to tender, swollen lymph nodes that may feel rubbery or hard but are usually movable.

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The nurse is observing the auscultation technique of a student nurse. What is the correct method to use when progressing from one auscultatory site on the thorax to another?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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