During which part of a comprehensive physical assessment would the nurse auscultate after inspecting but before percussing?
Anterior chest
Neck
Heart
Abdomen
The Correct Answer is D
A. In the anterior chest assessment, auscultation usually follows inspection and is typically done before percussion.
B. In the neck assessment, the nurse may inspect and then auscultate (e.g., carotid arteries) before palpation.
C. In the heart assessment, auscultation follows inspection but may not involve percussion.
D. In the abdomen, the correct order is to inspect, auscultate, and then percuss to assess bowel sounds effectively before creating additional disturbances with percussion.
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Correct Answer is D
Explanation
A. The tympanic temperature of 37.1° C (98.8° F) is within normal limits and does not require re-measurement.
B. The respiratory rate of 14/min is also within the normal range (12-20 breaths per minute).
C. The blood pressure of 98/77 mm Hg is not alarmingly low and does not require immediate re-measurement.
D. A pulse rate of 42/min indicates bradycardia (normal resting heart rate is typically between
Correct Answer is D
Explanation
A. Flexion refers to bending the joint, which does not apply when turning the palm down.
B. Supination is the movement of turning the palm up, which is the opposite of what is being tested here.
C. Rotation refers to the circular movement around a central point, but it does not specifically describe the action of turning the palm down.
D. Pronation is the movement of turning the palm down, which is exactly what the client is doing when asked to perform this maneuver.