Exam 18: Thorax and Lungs

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A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure.Which of these findings is the nurse most likely to observe in this patient?

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Which of these statements is true regarding the vertebra prominens? The vertebra prominens is:

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During an assessment of an adult,the nurse has noted unequal chest expansion and recognizes that this occurs in which situation?

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During a morning assessment,the nurse notices that the patient's sputum is frothy and pink.Which condition could this finding indicate?

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During an examination of the anterior thorax,the nurse is aware that the trachea bifurcates anteriorly at the:

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A 65-year-old patient with a history of heart failure comes to the clinic with complaints of "being awakened from sleep with shortness of breath." Which action by the nurse is most appropriate?

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When assessing a patient's lungs,the nurse recalls that the left lung:

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During an assessment,the nurse knows that expected assessment findings in the normal adult lung include the presence of:

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During auscultation of the lungs,the nurse expects decreased breath sounds to be heard in which situation?

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During auscultation of the lungs of an adult patient,the nurse notices the presence of bronchophony.The nurse should assess for signs of which condition?

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The nurse knows that a normal finding when assessing the respiratory system of an older adult is:

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During auscultation of breath sounds,the nurse should correctly use the stethoscope in which of the following ways?

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A teenage patient comes to the emergency department with complaints of an inability to breathe and a sharp pain in the left side of his chest.The assessment findings include cyanosis,tachypnea,tracheal deviation to the right,decreased tactile fremitus on the left,hyperresonance on the left,and decreased breath sounds on the left.The nurse interprets that these assessment findings are consistent with:

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The nurse is observing the auscultation technique of another nurse.The correct method to use when progressing from one auscultatory site on the thorax to another is _______ comparison.

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A patient has a long history of chronic obstructive pulmonary disease (COPD).During the assessment,the nurse will most likely observe which of these?

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The nurse is auscultating the lungs of a patient who had been sleeping and notices short,popping,crackling sounds that stop after a few breaths.The nurse recognizes that these breath sounds are:

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The nurse is listening to the breath sounds of a patient with severe asthma.Air passing through narrowed bronchioles would produce which of these adventitious sounds?

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The nurse is assessing voice sounds during a respiratory assessment.Which of these findings indicates a normal assessment? Select all that apply.

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A patient has been admitted to the emergency department for a suspected drug overdose.His respirations are shallow,with an irregular pattern,with a rate of 12 respirations per minute.The nurse interprets this respiration pattern as which of the following?

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The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate.Which statement by the graduate nurse reflects a correct understanding of tactile fremitus? "Tactile fremitus:

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