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Eivity C MULTIPLE CHOICE QUESTIONS ose the one best answer for each of the following multiple choice questions 1. Before beginning a physical assessment of a client, the nurse should first a. wash both hands with soap and water. b. determine whether the client is anxious. cask the client to remove all clothing d. request a family member to be present. 2. To alleviate a client’s anxiety during a comprehensive assessment, the nurse should a. begin with intrusive procedures first to get them completed quickly. b. explain each procedure being performed and the reason for the procedure C remain in the examination room while the client changes into a gown. d. ask the client to sign a consent for the physical examination 3. While performing a physical examination on an older adult, the nurse should plan to a. complete the examination as quickly as possible. b. ask the client to change positions frequently, c provide only minimal teaching related to health care. d. use minimal position changes. 4. During a comprehensive assessment, the primary technique used by the nurse throughout the examination is a. palpation b. percussion. c. auscultation d. inspection 5. While examining a client, the nurse plans to palpate temperature of the skin by using the a. fingertips of the hand. b. ulnar surface of the hand. c. dorsal surface of the hand. d. palmar surface of the hand. 6. During palpation of a client’s organs, the nurse palpates the spleen by applying pressure between 2.5 and 5 cm. The nurse is performing a. light palpation b. moderate palpation. c. deep palpation. d. bimanual palpation: 7. While performing a physical examination on an adult client, the nurse can detect the density of an underlying structure by using a. inspection b. palpation c. Doppler magnification. d. percussion 18 UNIT 1 NURSING DATA COLLECTION, DOCUMENTATION, AND ANALYSIS won the mouse places one hand tat on the body surfaces and uses the fist of the other hand om a. firm percussion. b. direct percussion c. Indirect percussion. d. blunt percussion. 9. An adult client visits a clinic and tells the nurse that she suspects she has urinary tract infection, detect tenderness over the client’s kidneys, the nurse should instruct the client that he or she w performing 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 emphyse 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 fli 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 sol using a stethoscope with a a. 1-Inch bell b. 12-inch diaphragm. c. 15-inch flexible tubing. d. 1-inch diaphragm Activity CRITIC
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