Answer to Question 1
Correct Answer: 1,2,3,4
Rationale 1: Placing the middle finger of the non-dominant hand on the client's skin is the first step when performing indirect percussion.
Rationale 2: Using the tip of the flexed middle finger of the other hand to strike the middle finger of the non-dominant hand is the second step when performing indirect percussion.
Rationale 3: The nurse should perform a striking motion by moving the wrist.
Rationale 4: The nurse should perform short, rapid, firm blows.
Rationale 5: Using a stethoscope to transmit sounds to the ears is done during auscultation, not indirect percussion.
Answer to Question 2
Correct Answer: 1,2
Rationale 1: The nurse will perform a physical examination on a client to determine the progress of the client's health problem.
Rationale 2: The nurse will perform a physical examination on a client to determine the physiological impact of the prescribed medication.
Rationale 3: The nurse will not be performing a physical examination to collect baseline data.
Rationale 4: The nurse will not be performing a physical examination to support nursing diagnoses.
Rationale 5: The nurse will not be performing a physical examination to identify areas for health promotion.
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Using small, circular strokes, exfoliate the client’s neck and back.
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