When performing a physical examination of the patient, the nurse uses a technique that is particularly useful in identifying areas of tenderness. This technique is:
percussion
palpation
auscultation
Inspection
The Correct Answer is B
A. Percussion – Percussion helps assess the size, location, and density of organs but is not the primary technique for identifying tenderness.
B. Palpation – Palpation involves using the hands to assess for tenderness, swelling, temperature changes, and masses. It is the most effective method for detecting areas of tenderness.
C. Auscultation – Auscultation involves listening to internal body sounds, such as heart, lung, and bowel sounds, and does not assess tenderness.
D. Inspection – Inspection is visual observation of the body for abnormalities but does not involve physically assessing for tenderness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pruritus. – Pruritus refers to itching, not redness or inflammation.
B. Erythema. – Erythema describes redness of the skin or mucous membranes due to capillary dilation, commonly seen in infections, sunburn, or allergic reactions.
C. Turgor. – Turgor refers to skin elasticity and is used to assess hydration status. It does not indicate redness or inflammation.
D. Exudate. – Exudate refers to fluid drainage from wounds or infections, not skin redness.
Correct Answer is A
Explanation
A. Introduce her/himself. – Introducing oneself establishes a professional relationship, sets the tone for communication, and makes the patient feel acknowledged and comfortable.
B. Communicate trust. – While trust is essential, it is built over time through consistent and reliable care rather than being the first step in the interaction.
C. Provide support. – Providing support is part of therapeutic communication, but it is not the initial step in forming a nurse-patient relationship.
D. Appear interested. – While showing interest is important, the first step is to introduce oneself to establish identity and professional presence.
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