Exam 15: Respiratory System

During the assessment of a client's respiratory system,the nurse determines that the client's expiration phase is the same length as the inspiration phase.The client's respiratory rate is 14 per minute.The nurse would document this finding as:

The client aspirated a pea during a meal.The healthcare provider noted that the pea was in the bronchus.Draw an arrow to the most likely site of the pea.

The nurse is assessing a 1-month-old infant's respiratory system and sees that the infant is primarily using abdominal muscles to breathe and has an irregular breathing pattern.The nurse recognizes that this finding is:

The nurse is assessing a client with a severe left pleural effusion.Which of the following findings are expected?

The client is 36 weeks pregnant.The nurse is assessing the client's respiratory system and finds that her respiratory rate is 24 breaths per minute.The client states that she sometimes experiences shortness of breath.Which of the following is the nurse's best response?

During the respiratory assessment of a client the nurse wishes to locate the angle of Louis.This structure can be identified by using which of the following landmarks?

While palpating respiratory expansion on a client in the emergency room the nurse notes movement on only one side of the chest.Which of the following conditions may produce this finding?

The nurse is caring for a teenager recently hospitalized with asthma.Several peers are preparing to visit the client and have brought gifts for the client.The nurse intervenes and prevents which of the following items from being brought into the patient's room?

The nurse is percussing the anterior chest of an elderly client.Which of the following would the nurse expect to find in this client?

A client is demonstrating a diminished ability to exhale.The nurse realizes this client is at risk for developing:

The nurse is preparing to auscultate a client's lungs.Which of the following breath sounds would be considered abnormal?

The nursing instructor is observing a student nurse assess the client's respiratory system.The student demonstrates proper technique for auscultation when moving the stethoscope:

Draw an arrow to the area where tracheal breath sounds can be auscultated.

A client with chronic bronchitis has been admitted to the hospital.The nurse inspects the client while assessing the client's respiratory system.Which of the following would be an expected finding?

The nurse percusses the lungs and determines that there is an area of hyperresonance.This finding is consistent with which of the following conditions?

Draw an arrow that points to the right anterior axillary line (AAL).

During the assessment of a client's voice sounds,the nurse hears louder sounds over the client's right lower lobe.This finding would be consistent with:

While the client sleeps,the nurse notes that the client's respirations periodically stop.This finding would be documented as:

The nurse is preparing to assess the client's respiratory system.Rank in order according to how the nurse should proceed. A)Auscultation B)Inspection C)Percussion D)Client survey E)Palpation

The nurse wants to assess the apex of a client's right lung.Which of the following locations should the nurse place the stethoscope to assess this area on the client?