The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern. How should the nurse assess this child's respirations?

Correct Answer: A

Rationale: For irregular respiratory patterns, respirations should be counted for a full minute to ensure accuracy.

Correct Answer: D

Rationale: The frenulum is a midline fold of tissue that connects the tongue to the floor of the mouth. The uvula is the free projection hanging down from the middle of the soft palate. The palate is the arching roof of the mouth. Papillae are the rough, bumpy elevations on the tongue's dorsal surface.

Correct Answer: C

Rationale: Although self-examination has not been shown to reduce mortality and is not recommended by all groups making screening recommendations, many choose to teach women a systematic method in which to examine their breasts. A high proportion of breast masses are detected by breast self-examination.

Correct Answer: B

Rationale: Decreased tactile fremitus is commonly associated with pleural effusion due to fluid accumulation.

Correct Answer: A

Rationale: Adson's test is used to detect thoracic outlet syndrome by assessing changes in radial pulse with positional changes.