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18 UNIT NURSING DATA COLLECTION, DOCUMENTATION, AND ANALYSIS 8. When the nurse places one hand flat on the body surface and uses the fist of the other hand the back of the hand flat on the body surface, the nurse is using a firm percussion b. direct percussion c. Indirect percussion d. blunt percussion 9. Ant adult client visits a clinic and tells the nurse that she suspects she has urinary tract infection. In detect tenderness over the client’s kidneys, the nurse should Instruct the client that he or she will a. moderate palpation. b. deep palpation C: indirect percussion d. blunt percussion. 10. The most commonly used method of percussion is a. direct percussion b. mild percussion c. Indirect percussion. d. blunt percussion. 11. During a comprehensive assessment of the lungs of an adult client with a diagnosis of emphysem, the nurse anticipates that during percussion the client will exhibit a. hyperresonance b. tympany c. dullness d. flatness, 12. While percussing an adult client during a physical examination, the nurse can expect to hear fatness over the client’s a. lungs, b. bone. c. liver. d. abdomen. 13. During a comprehensive assessment of an adult client, the nurse can best hear high-pitched sound using a stethoscope with a a. 1-Inch bell b. 14-inch diaphragm. . 15-inch flexible tubing. d. 1-inch diaphragm Activity D CRITICAL THINKING ACTIVITIES When might you use deep palpation during a physical examination? Bimanual palpation? Direct percuma Indirect percussion? Explain how the universal precautions (see Box 3-1. pp. 41-43 in textbook) and infection control del would apply to the physical examination techniques of inspection; percussion, palpation, and asco Describe how you would prepare yourself to perform a total physical examination of a dientot the opposite sex. Describe how you would prepare the client both emotionally and physically
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