Exam 18: Pulmonary Clinical Assessment

Diminished to absent breath sounds on the right side,tracheal deviation to the left side,and asymmetrical chest movement are indicative of which of the following disorders?

A patient is admitted to the critical care unit with acute respiratory failure secondary to COPD.The patient has a 15-year history of emphysema and bronchitis.On inspection,the nurse observes that the patient is experiencing air trapping.While auscultating the chest,the nurse notes the presence of coarse,rumbling,low-pitched sounds in the right middle and lower lobes.On percussion of the lung fields,a patient with emphysema will predictably exhibit which tone?

Which of the following regarding the client history will assist the nurse in developing the plan of management?

A patient is admitted to the critical care unit with acute respiratory failure.Upon auscultation,the health care provider hears creaking,leathery,coarse breath sounds in the lower anterolateral chest area during inspiration and expiration.The nurse suspects that the patient has a(n)

Diaphragmatic excursion is a measurement of the difference in the level of the diaphragm on inspiration and expiration determined by percussion.It is increased in

Which of the following lung sounds would be most likely heard in a client experiencing an asthma attack?

Voice sounds such as bronchophony,egophony,and whispering pectoriloquy are increased in

A patient is admitted to the unit in respiratory distress secondary to pneumonia.The nurse knows that obtaining a history is very important.What is the appropriate intervention at this time for obtaining this data?

A patient presents with chest trauma from an MVA.Upon assessment,the nurse documents that the patient is complaining of dyspnea,shortness of breath,tachypnea,and tracheal deviation to the right.In addition,the client's tongue is blue-gray.Based on the following data,what would the nurse would expect to find?

A client just involved in a motor vehicle accident has sustained blunt chest trauma as part of his injuries.The nurse assessment reveals absent breath sounds in the left lung field.A left-sided pneumothorax is suspected and is further validated when assessment of the trachea reveals

Which of the following is an example of a disorder with increased tactile fremitus?

While conducting a physical assessment,you note that the patient's breathing is rapid and shallow.This type of breathing pattern is known as

The use of observation for assessment is known as

Which of the following conditions will commonly reveal breath sounds with inspiration greater than expiration on assessment? 1)Normal lung 2)Bronchiectasis 3)Emphysema 4)Acute bronchitis 5)Diffuse pulmonary fibrosis 6)Consolidating pneumonia

On assessment of a client,you note fremitus over the trachea but not in the lung periphery.You know that this most likely represents

The creation of sound waves across the body surface to determine abnormal densities is known as

A patient is admitted to the critical care unit with acute respiratory failure secondary to COPD.The patient has a 15-year history of emphysema and bronchitis.On inspection,the nurse notes that the patient is experiencing air trapping.While auscultating his chest,you note the presence of coarse,rumbling,low-pitched sounds in the right middle and lower lobes.Which of the following best describes the patient's breathing pattern?

Which of the following describes the major difference between tachypnea and hyperventilation?

The use of touch to judge the character of the body surface and underlying organs is known as

Normal anteroposterior (AP)diameter ranges from 1:2 to 5:7.An increase in AP diameter of the chest that is characterized by displacement of the sternum forward and the ribs outward is indicative of