On assessment, the nurse observes that a client has small red ...

[lbcchick]

On assessment, the nurse observes that a client has small red spots caused by capillary bleeding. How should the nurse document this finding?
 
  1. Lesions
  2. Rash
  3. Petechiae
  4. Erythema

Question 2

The nurse is beginning a physical assessment of a client. For which assessment should the nurse use percussion?
 
  1. Heart sounds
  2. Presence of gas in the intestines
  3. Equal symmetry of chest expansion
  4. Presence of fluid in the lungs

[amcvicar]

Answer to Question 1

Answer: 3

1. Lesions are disruptions of the skin surface.
2. A rash is caused by an irritation or allergic reaction.
3. Petechiae are small red spots caused by capillary bleeding.
4. Erythema is redness of the skin.

Answer to Question 2

Answer: 2

1. Percussion is most often used to assess abdominal structures and check for tympany or dullness.
2. Percussion is most often used to assess abdominal structures and check for tympany or dullness.
3. Observation and palpation would be used to assess for thoracic symmetry.
4. Auscultation would be used to assess for fluid in the lungs.

[lbcchick]

Excellent

[yeungji]

Gracias!