Chapter 19: Thorax and Lungs | Answered with complete solutions
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Course
Nursing
Institution
Nursing
Chapter 19: Thorax and Lungs | Answered with complete solutions What is the function of the goblet cells of the lungs? A. To enable the exchange of gases B. To sweep away particulate matter C. To provide space for gas exchange D. To entrap small particulate matter How does the nurse assess for ta...
What is the function of the goblet cells of the lungs?
A. To enable the exchange of gases
B. To sweep away particulate matter
C. To provide space for gas exchange
D. To entrap small particulate matter
How does the nurse assess for tactile fremitus in a patient?
A. By placing the fingertips on the sides of the neck
B. By placing the thumb on the spinous process of the patient
C. By placing warmed hands sideways on the posterolateral chest wall
D. By placing the palmar base of one hand to touch the patient's chest
The student nurse is listing the characteristics of normal breath sounds. Which
characteristics of normal breath sounds should the student nurse include? Select all that
apply.
A. Amplitude
B. Depth
C. Pitch
D. Quality
E. Pressure
The nurse starts to count the ribs of the patient from the angle of Louis. Which
statement precisely describes the "angle of Louis"?
A. It is continuous with the first rib.
B. It marks the top edge of the sternum.
C. It is also known as the suprasternal notch.
D. It is the articulation of the manubrium and the body of the sternum.
The nurse notices that a patient occasionally sighs when breathing. What should the
nurse expect to happen as a result of sighing?
A. It expands the alveoli.
B. It leads to tachypnea.
C. It causes hypoventilation.
D. It leads to slow breathing.
While assessing the tactile fremitus of the patient, the nurse learns that the fremitus is
decreased. Which disorder may be diagnosed in the patient?
,A. Bronchitis
B. Pleural effusion
C. Lobar pneumonia
D. Pulmonary infarction
The nurse is assessing the bronchial breath sounds of a patient. Where should the
nurse place the stethoscope?
A. Over the trachea and the larynx
B. Over the peripheral lung fields
C. Posterior between the scapulae
D. Anterior near the upper sternum
During the chest assessment of a patient, which reference line does the nurse note on
the posterior chest wall?
A. The midspinal line
B. The midaxillary line
C. The midsternal line
D. The midclavicular line
What action should the nurse include when auscultating the anterior chest of a patient
for breath sounds? Select all that apply.
A. Starts the auscultation at the apices in the supraclavicular areas
B. Auscultates and listens for one full respiration in each location
C. Examines one side completely and then examines the other side
D. Listens with a stethoscope over the breast in the female patient
E. Completes the examination by auscultating down to the sixth rib
The nurse is caring for a patient with a regular breathing rate of eight breaths per
minute. What is the most likely cause for this condition?
A. Prolonged bed rest
B. Splinting of the chest
C. Overdose of stimulants
D. Drug-induced depression
What assessment finding will the nurse document in a patient with pneumonia?
A. A smooth chest expansion
B. A lag in the chest expansion
C. A palpable grating sensation
D. A slight inspiratory variation
, Increased tactile fremitus would be evident in an individual who has which of the
following conditions?
A. Emphysema
B. Pneumonia
C. Crepitus
D. Pneumothorax
A common clinical manifestation in a patient with chronic obstructive pulmonary disease
(COPD) is:
A. periodic breathing patterns.
B. pursed-lip breathing.
C. unequal chest expansion.
D. hyperventilation.
Which of the following is not included in the definition of the thoracic cage?
A. Sternum
B. Ribs
C. Costochondral junction
D. Diaphragm
Inspiration is primarily facilitated by which of the following muscles?
A. Diaphragm and rectus abdominis
B. Trapezius and sternomastoids
C. Internal intercostal and abdominis
D. Diaphragm and intercostal
Which of the following voice sounds would be a normal finding?
A. The voice transmission is distinct and sounds close to the ear.
B. The "eeeee" sound is clear and sounds like "eeeee."
C. The whispered sound is transmitted clearly.
D. Whispered "1-2-3" is audible and distinct.
The gradual loss of intra-alveolar septa and a decreased number of alveoli in the lungs
of elderly adults cause:
A. hyperventilation.
B. spontaneous atelectasis.
C. decreased surface area for gas exchange.
D. decreased dead space.
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