The nurse is observing a student nurse performing a respiratory ...

[azncindy619]

The nurse is observing a student nurse performing a respiratory assessment on a client. Which statement indicates that the student nurse is performing the assessment correctly?
 
  1. The student nurse has the client in either a sitting or lying position.
  2. The client is placed in a sitting position and uncovered to the waist.
  3. The client is placed in a sitting position with gown and blanket.
  4. The client is placed in the semi-Fowler's position with gown removed.

Question 2

The nurse is going to perform light palpation. Which statement regarding light palpation is true?
 
  1. It is a gentle downward movement of the hand in a circular fashion.
  2. It is done by using two hands to apply pressure.
  3. It is only done by the health care provider.
  4. It should cause the client pain.

[nguyenhoanhat]

Answer to Question 1

Correct Answer: 2

For a complete respiratory assessment, the client should be sitting and uncovered to the waist. When performing a respiratory assessment, the client should be sitting or in a lying position; however, the student should be uncovered. Having the client in a sitting position is correct; however, the client needs to be uncovered in order to adequately assess. A semi-Fowler's position is not appropriate when assessing a client's respiratory system.

Answer to Question 2

Correct Answer: 1

Light palpation is a gentle downward movement of the hand in a circular fashion. Deep palpation occurs when the practitioner uses two hands to apply pressure. All nurses are taught how to perform light palpation. Palpation should not cause pain unless there is a problem.