The nurse is performing a physical assessment on a client. Which of the following techniques should the nurse perform first?

Palpation

Percussion

Inspection

Auscultation

Answer and Explanation

The Correct Answer is C

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Correct Answer is A

No explanation

A. Using strong pressure, palpate with both hands to compare the two sides B. Gently pinch each node between one's thumb and forefinger, and then move down the neck muscle C. Using the index finger, firmly palpate by applying pressure in a rotating pattern D. Using gentle pressure, palpate with both hands to compare the two sides

Correct Answer is D

Explanation

A. Using strong pressure, palpate with both hands to compare the two sides.Strong pressure is not recommended when palpating lymph nodes, as it could cause discomfort and may not provide accurate information. Lymph nodes are best assessed using gentle pressure.

B. Gently pinch each node between one's thumb and forefinger, and then move down the neck muscle.Pinching the lymph nodes is not the correct technique. Lymph nodes should be palpated gently, not pinched, to assess their size, consistency, and mobility.

C. Using the index finger, firmly palpate by applying pressure in a rotating pattern.While a rotating pattern is part of the technique, using firm pressure with a single finger is not ideal. Gentle pressure and the use of multiple fingers or both hands are preferred for more accurate assessment.

D. Using gentle pressure, palpate with both hands to compare the two sides.This is the correct technique. Gentle pressure should be used to palpate the lymph nodes with both hands, allowing for comparison between the two sides. This method helps the nurse accurately assess the size, consistency, mobility, and tenderness of the lymph nodes.

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The nurse is performing a physical assessment on a client. Which of the following techniques should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the lymph nodes on a healthy older adult client. Which of the following should the nurse expect as a normal assessment finding of lymph nodes in a healthy older adult client? The lymph nodes are:

Correct Answer is A

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Correct Answer is D

Explanation

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