Exam 18: Thorax and Lungs

During palpation of the anterior chest wall,the nurse notices a coarse,crackling sensation over the skin surface.On the basis of these findings,the nurse suspects:

During percussion,the nurse knows that a dull percussion note elicited over a lung lobe most likely results from:

When assessing tactile fremitus,the nurse recalls that it is normal to feel tactile fremitus most intensely over which location?

When assessing the respiratory system of a 4-year-old child,which of these findings would the nurse expect?

The nurse is reviewing the characteristics of breath sounds.Which statement about bronchovesicular breath sounds is true? Bronchovesicular breath sounds are:

A patient comes to the clinic complaining of a cough that is worse at night but not as bad during the day.The nurse recognizes that this cough may indicate:

The nurse is assessing the lungs of an older adult.Which of these changes are normal in the respiratory system of the older adult?

The primary muscles of respiration include the:

When auscultating the lungs of an adult patient,the nurse notes that low-pitched,soft breath sounds are heard over the posterior lower lobes,with inspiration being longer than expiration.The nurse interprets that these sounds are:

When performing a respiratory assessment on a patient,the nurse notices a costal angle of approximately 90 degrees.This characteristic is:

The nurse knows that auscultation of fine crackles would most likely be noticed in:

The nurse is percussing over the lungs of a patient with pneumonia.The nurse knows that percussion over an area of atelectasis in the lungs will reveal:

A mother brings her 3-month-old infant to the clinic for evaluation of a cold.She tells the nurse that he has had "a runny nose for a week." When performing the physical assessment,the nurse notes that the child has nasal flaring and sternal and intercostal retractions.The nurse's next action should be to:

When inspecting the anterior chest of an adult,the nurse should include which assessment?

A patient with pleuritis has been admitted to the hospital and complains of pain with breathing.What other key assessment finding would the nurse expect to find upon auscultation?

Which statement about the apices of the lungs is true? The apices of the lungs:

An adult patient with a history of allergies comes to the clinic complaining of wheezing and difficulty in breathing when working in his yard.The assessment findings include tachypnea,the use of accessory neck muscles,prolonged expiration,intercostal retractions,decreased breath sounds,and expiratory wheezes.The nurse interprets that these assessment findings are consistent with:

A woman in her 26th week of pregnancy states that she is "not really short of breath" but feels that she is aware of her breathing and the need to breathe.What is the nurse's best reply?

A 35-year-old recent immigrant is being seen in the clinic for complaints of a cough that is associated with rust-colored sputum,low-grade afternoon fevers,and night sweats for the past 2 months.The nurse's preliminary analysis,based on this history,is that this patient may be suffering from:

A patient has been admitted to the emergency department with a possible medical diagnosis of pulmonary embolism.The nurse expects to see which assessment findings related to this condition?