Question

PART II: (7 questions) For the following questions you must indicate the correct answer and indicate which answers are INCORRECT. Then, you must provide a rationale statement for why each answer is either correct or incorrect (why did you choose the correct answer and why did you not choose the other options). These statements may be very brief as long as it provides the "why" to support your answer. 1. You are instructing your lab partner on how to properly perform a thyroid assessment. You know your peer needs additional teaching when he performs which of the following assessment techniques? A. Inspection B. Palpation C. Percussion D. Auscultation

Answer 1

1. Option A inspection

inspection itself you can understand, because for inspecting the thyroid gland he has to extent the neck slightly by touching the forehead, if the peer is not doing it there itself you can understand he needs more assistance.

Option B palpation,2ndstep of thyroid gland assessment, since the question is about the need of additional teaching of the peer, all this three come secondary

Option C percussion 3rd step of thyroid gland assessment, since the question is about the need of additional teaching of the peer, all this three come secondary

Option D auscultation is the 4th step of thyroid gland assessment, since the question is about the need of additional teaching of the peer, all this three come secondary

2.option A. bruit murmurs heard over carotid artery

since blowing and whooshing sounds are heart murmurs it has to be reported this way.

Option B is a split sound so it is not relevant

Option C where the sound is auscultated is not mentioned

Option D mentioned sound is not the sound auscultated

3. option A dangle the leg off the bed and reassess in 2 minutes

Normal time is 2 sec for capillary refill, and the answer got is 3 sec, so it may be a because of the prolonged position of the patient, so first nurse has to try again before confirming

Option B apical pulse rate checking is not necessary because the time taken is 3 seconds

Option C since the initial evaluation is a small variation, you can’t document the initial evaluation without confirming it again.

Option D dangling the leg is more effective than this method to improve the circulation

4.Option A patient turn to the left lateral position

Doing so compresses the intercoastal muscles and ribs so that its easy to palpate the position which the left side, first intercoastal space located below the 5th rib. You can also slide your fingers down to manubrium where it meets the sternum

Option B if you are assessing peripheral pulse because of the deficit of apical pulse you have to do both at the same time. This option mentions radial nerve alone

Option C since the apical pulse is auscultated from the left side of the heart it wont make practically appropriate to turn to other side