Author Question: A client has a reddened area on the left forearm. Which assessment technique should the nurse use to ... (Read 85 times)

craiczarry

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A client has a reddened area on the left forearm. Which assessment technique should the nurse use to assess this area?
 
  1. Percussion.
  2. Light palpation.
  3. Moderate palpation.
  4. Deep palpation.

Question 2

The nurse is inspecting a client's chest and upper extremities. Which would be the appropriate method for the nurse to assess these body areas?
 
  1. Examine the right arm, the chest, and then the left arm.
  2. Examine the left arm, the chest, and then the right arm.
  3. Examine the left arm, the right arm, and then the chest.
  4. Examine the chest, and then examine the arms at the conclusion of the exam, as the client is re-dressing.



AISCAMPING

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Answer to Question 1

Correct Answer: 2
Light palpation is used to assess surface characteristics, such as skin texture, pulse, or a tender, inflamed area near the surface of the skin. Percussion is used to determine the size and shape of organs and masses, and whether underlying tissue is solid or filled with air or fluid. Moderate palpation is used to assess most of the other structures of the body. Deep palpation is used to assess an organ that lies deep within a body cavity.

Answer to Question 2

Correct Answer: 3

Inspection begins with a survey of the client's appearance and a comparison of the right and left sides of the body, which should be nearly symmetrical. The nurse should compare the left and right arms before moving to the chest. The nurse should give the client privacy at the conclusion of the physical assessment to re-dress.



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