sternal border
outer edge of the sternum
12
how many sets of ribs do we have
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intercostal spaces
spaces between the ribs (contain muscles, blood vessels & nerve...
sternal border
outer edge of the sternum
12
how many sets of ribs do we have
intercostal spaces
spaces between the ribs (contain muscles, blood vessels & nerves)
the scapula
what do we want to avoid auscultating lung sounds over?
6th rib
where the left/right upper lobe and lower lobe intersect
the right mid-axillary line, 4-6th ICS
where do you assess the right middle lobe?
c. Perform lung auscultation with the client in a seated position.
Which of the following techniques should be included when completing a
respiratory assessment of a female client with COPD?
a. Listen to lung sounds over the gown to maintain client privacy
b. Auscultate the lungs, then inspect and palpate the thorax.
c. Perform lung auscultation with the client in a seated position.
d. Only listen to the posterior and lateral lungs, due to breast tissue anteriorly.
c. Using the diaphragm of the stethoscope to listen to lung sounds
Which of the following nursing interventions is directly related to the client's
diagnosis of ineffective breathing pattern?
a. Assessing for orthostatic blood pressure
b. Reassessing lung sounds after the client coughs
c. Using the diaphragm of the stethoscope to listen to lung sounds
d. Educating the client on handwashing measures to prevent infection
a. Kyphosis
b. Scoliosis
, d. Pectus Excavatum
Which of the following conditions may impact the client's breathing? (Select all
that apply)
a. Kyphosis
b. Scoliosis
c. Pectus Carinatum
d. Pectus Excavatum
c. Respiratory Expansion
The nurse places their hands over the client's ribs, with thumbs together and
fingers spread, and asks the client to take a deep breath. Which of the following
is the nurse assessing?
a. Crepitus
b. Fremitus
c. Respiratory Expansion
d. Resonance
a. Ask the client and family to refrain from talking
b. Turn off the TV
c. Close the room door
The nurse is preparing to assess lung sounds in a client. Which of the following
measures are appropriate prior to this assessment? (Select all that apply)
a. Ask the client and family to refrain from talking
b. Turn off the TV
c. Close the room door
d. Ask the client to take deep breaths through the mouth every time you move the
stethoscope
iron rich foods
what types of foods do you want to ask about when trying to figure out about
respiratory disorders?
Orthopnea position .... lung expansion
How many pillows do you use to sleep on? what is this a question for?
when was you last tb test and what was your result?
What is a super important question to ask when taking respiratory health history?
palpation
how do you test for fremitus
Resonance
tapping over your lung what should you hear
Hyperresonance
the sound heard when percussing and theres air trapped in the lungs
flattness
an extremely dull sound produced, during percussion, by very dense tissue, such
as muscle or bone
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