The nurse is using a stethoscope to assess a patient's cardiac ...

[maegan_martin]

The nurse is using a stethoscope to assess a patient's cardiac status. This assessment technique is known as:
 
  a. inspection.
  b. percussion.
  c. palpation.
  d. auscultation.

Question 2

Establishing short- and long-term goals to address nursing diagnoses involves: (Select all that apply.)
 
  a. discussion with the patient.
  b. exclusion of family with making patient decisions.
  c. collaboration with other members of health care team.
  d. making the health care provider as the central figure.
  e. coordination of care as collaborative care.

[amy.lauersdorf90]

Answer to Question 1

ANS: D
Auscultation is a technique of listening with the assistance of a stethoscope to sounds made by organs or systems such as the heart, blood vessels, lungs, and abdominal cavity. Inspection involves the use of vision, hearing, and smell to closely scrutinize physical characteristics of a whole person and individual body systems. Percussion involves tapping the patient's skin with short, sharp strokes that cause a vibration to travel through the skin and to the upper layers of the underlying structures. Vibration is reflected by the tissues, and the character of the sound heard depends on the density of the structures that reflect the sound. Palpation uses touch to assess body organs and skin texture, temperature, moisture, turgor, tenderness, and thickness.

Answer to Question 2

ANS: A, C, E
Establishing short- and long-term goals to address nursing diagnoses involves discussion with the patient and often requires collaboration with family members and other members of the health care team. Coordinated, team-based patient care is called collaborative care. The patient's health care team members may include several nurses: the primary care provider; medical or surgical specialists; respiratory therapists; a dietitian; a physical therapist; occupational, music, or art therapists; a spiritual adviser; and social workers. The patient's primary nurse is often the central figure in coordinating collaborative care.

[maegan_martin]

TYSM

[lindahyatt42]

Excellent