Assessment: Respiratory and Upper Respiratory problem Lewis Exam Questions With Correct Answers.
3 views 0 purchase
Course
Respiratory
Institution
Respiratory
Assessment: Respiratory and Upper
Respiratory problem Lewis Exam Questions
With Correct Answers.
A patient with acute shortness of breath is admitted to the hospital. Which action should the
nurse take during the initial assessment of the patient?
A) Ask the patient to lie down to complete a f...
Crackles are low-pitched, bubbling sounds usually heard on inspiration. Wheezes are high-
pitched sounds. They can be heard during the expiratory or inspiratory phase of the respiratory
cycle. The lower third of both lungs are the bases, not apices. Pleural friction rubs are grating
sounds that are usually heard during both inspiration and expiration.
The nurse palpates the posterior chest while the patient says 99 and notes absent fremitus. Which
action should the nurse take next?
A) Palpate the anterior chest and observe for barrel chest.
B)Encourage the patient to turn, cough, and deep breathe.
C) Review the chest x-ray report for evidence of pneumonia.
D) Auscultate anterior and posterior breath sounds bilaterally. - answer✔ANS: D
To assess for tactile fremitus, the nurse should use the palms of the hands to assess for vibration
when the patient repeats a word or phrase such as 99. After noting absent fremitus, the nurse
should then auscultate the lungs to assess for the presence or absence of breath sounds. Absent
fremitus may be noted with pneumothorax or atelectasis. The vibration is increased in conditions
such as pneumonia, lung tumors, thick bronchial secretions, and pleural effusion. Turning,
coughing, and deep breathing is an appropriate intervention for atelectasis, but the nurse needs to
first assess breath sounds. Fremitus is decreased if the hand is farther from the lung or the lung is
hyperinflated (barrel chest).The anterior of the chest is more difficult to palpate for fremitus
because of the presence of large muscles and breast tissue.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller sirjoel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
