Exam 5: Assessing the Respiratory System

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A respiratory rate of 20 for an adult patient is documented using which term?

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A

Which physical assessment technique would be used to identify wheezing?

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D

Which assessment finding could indicate that the patient has lung cancer?

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D

Which standard view is typically inappropriate when conducting a respiratory assessment?

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The nurse is assessing an older adult patient who is admitted to the hospital with aspiration pneumonia of the right middle lobe. Which approaches will best facilitate assessment of the right middle lobe of the lung?

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Considering the patient's diagnosis of chronic obstructive pulmonary disease (COPD), the nurse assesses for signs and symptoms of hypoxia. What may alert the nurse to early signs and symptoms of hypoxia?

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Which physical assessment technique would be used to identify egophony?

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The nurse detects crackles when auscultating a patient's chest. Which statement accurately characterizes crackles?

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The nurse assesses a patient for tactile fremitus. Which statement best defines tactile fremitus?

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Inspection of the patient's chest reveals a wide costal angle. Which costal angle is expected for a healthy adult?

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Which physical assessment technique would be used to identify tactile fremitus?

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Which physical assessment technique would be used to determine the AP:lateral ratio?

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The nurse notes clubbing of the nails during the physical assessment. Based on this data, which condition does the nurse suspect?

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Pursed-lip breathing is most often seen in patients with which disease process?

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When assessing for cyanotic changes, central cyanosis may be distinguished from peripheral cyanosis. Which location does the nurse use to assess for central cyanosis?

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Upon palpation of the patient's rib cage, the nurse notes a crackling sensation like crumpling cellophane. Which conclusion by the nurse is appropriate?

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Which is the reason for assessing a patient's chest excursion?

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Which physical assessment technique would be used to identify dullness?

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Which physical assessment technique would best determine chest excursion?

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The nurse is assessing a patient who is admitted with the diagnosis of pleuritis. Auscultation of the patient's thorax reveals a pleural friction rub. How can the nurse differentiate this sound from other abnormal breath sounds?

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