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NURS 425-DL3 Ch.19 fully solved & verified for accuracy.
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NURS 425-DL3 Ch.19 fully solved & verified for accuracy.
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NURS 425-DL3 Ch.19 fullysolved & verified for
accuracy
Palpable rhonchal fremitus indicates which condition?
1
Pneumothorax
2
Thick bronchial secretions
3
Inflammation of the pleura
4
Consolidation of lung tissue - answer 2
Fremitus is a palpable vibration. When the patient is asked to say
something, the sounds generated from the larynx are transmitted
through the patent bronchi and the lung parenchyma to the chest
wall, and can be felt as vibrations. Rhonchal fremitus is found when
bronchial secretions are thick. A pneumothorax may result in
decreased fremitus. Inflammation of the pleura may cause pleural
friction fremitus. Consolidation of lung tissues may cause increased
fremitus.
Which structure separates the thoracic cavity from the abdomen?
1
Sternum
2
Diaphragm
,3
Manubrium
4
Xiphoid process - answer 2
he thoracic cage is defined by the sternum, ribs, the 12 thoracic
vertebrae, and the diaphragm. The diaphragm is a
musculotendinous septum that separates the thoracic cavity from
the abdomen, and it makes up the floor of the thoracic cage. The
manubrium and the xiphoid process are both parts of the sternum,
which runs down the center of the ribcage. None of these structures
separate the thoracic cavity from the abdomen
Decreased tactile fremitus is consistent with which diagnosis?
1
Bronchitis
2
Pleural effusion
3
Lobar pneumonia
4
Pulmonary infarction - answer 4
Decreased fremitus occurs when the bronchus of the patient is
obstructed. Any barrier that comes between the sound and the
palpating hand of the nurse will decrease the fremitus. When there
is air outside the lung in the chest cavity, it prevents lung expansion
and decreases the tactile fremitus. Pleural effusion, thickening
pneumothorax, or emphysema may be responsible for this. During
bronchitis and lobar pneumonia, tactile fremitus is normal and is not
decreased. In case of pulmonary infarction, fremitus is increased
and is not decreased.
, Which term is used to document excessive sweating associated with
shortness of breath?
1
Diaphoresis
2
Chronic dyspnea
3
Two-pillow orthopnea
4
Paroxysmal nocturnal dyspnea - answer 1
Diaphoresis is excessive sweating, which can be related to
shortness of breath. Chronic dyspnea is SOB lasting for more than 1
month. It may have neurogenic, respiratory, or cardiac origin.
Orthopnea refers to difficulty in breathing when a person is lying in
the supine position. If the patient requires two pillows to breathe
comfortably while lying down, the nurse notes the condition as two-
pillow orthopnea. A patient with paroxysmal nocturnal dyspnea may
awaken from sleep with SOB. This patient may need to be upright to
achieve comfort.
Which description of hypercapnia is correct?
1
Beginning of rapid, deep breathing
2
Presence of slow, shallow breathing
3
Decreased oxygen level in the blood
4
Increased carbon dioxide in the blood - answer 4
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