The nurse hears bilateral loud, long, and low tones when ...

[acc299]

The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a 4-year-old child. The nurse should:
 
  a. Palpate over the area for increased pain and tenderness.
  b. Ask the child to take shallow breaths, and percuss over the area again.
  c. Immediately refer the child because of an increased amount of air in the lungs.
  d. Consider this finding as normal for a child this age, and proceed with the examination.

Question 2

The nurse would use bimanual palpation technique in which situation?
 
  a. Palpating the thorax of an infant
  b. Palpating the kidneys and uterus
  c. Assessing pulsations and vibrations
  d. Assessing the presence of tenderness and pain

[daiying98]

Answer to Question 1

ANS: D
Percussion notes that are loud in amplitude, low in pitch, of a booming quality, and long in duration are normal over a child's lung.

Answer to Question 2

ANS: B
Bimanual palpation requires the use of both hands to envelop or capture certain body parts or organs such as the kidneys, uterus, or adnexa. The other situations are not appropriate for bimanual palpation.

[acc299]

TYSM

[Jossy]

Excellent