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The nurse is preparing to auscultate the lung sounds of a client with asthma. How
should the nurse complete the assessment? - answer-Listen to at least one full
respiration in each location.
When performing an abdominal assessment, the nurse uses a different order of
techniques than with other systems. Which sequence represents this order? - answer-
inspection, auscultation, percussion, palpation
The nurse is conducting a focused abdominal assessment of a client. When percussing
the liver, the sound should be: - answer-dull
The nurse is assessing an adult client's hearing by performing the Rinne test. The nurse
should activate the tuning fork and place it first at what location? - answer-mastoid
process
A nurse is evaluating a client's orientation after he was brought into the ER following a
car accident. What is indicated by "Oriented x3"? - answer-oriented to person, place,
and time
A nurse is preparing to complete a physical assessment on an older adult client with a
history of emphysema. What is the nurse's most appropriate action? - answer-Assist the
client to a sitting position.