N113: Thorax Assessment Spring 2024 Quiz
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Questions and Answers

What is the normal shape of the chest?

  • Oval (correct)
  • Rectangular
  • Triangular
  • Circular
  • During palpation of the posterior thorax, what is considered an abnormal finding?

  • Full & symmetric chest expansion
  • No tenderness
  • Asymmetric and decreased chest expansion (correct)
  • Uniform temperature
  • What is tactile fremitus in thorax assessment?

  • The percussion sound heard when listening to the lungs
  • The vibration felt through the chest wall when the client speaks (correct)
  • The chest expansion during inspiration
  • The sound produced when tapping the chest
  • How should the percussion sounds be interpreted during thorax assessment?

    <p>By tapping various areas to determine internal organ condition</p> Signup and view all the answers

    In chronic conditions, where there is an increase in the anterior-posterior diameter, what does this indicate?

    <p>Abnormal chest shape</p> Signup and view all the answers

    During palpation of the posterior thorax, what should the nurse assess for?

    <p>Tactile fremitus</p> Signup and view all the answers

    Which technique is used in thorax assessment to evaluate the air content within the lungs?

    <p>Percussion</p> Signup and view all the answers

    What is the primary purpose of interpreting percussion sounds during thorax assessment?

    <p>Determining density of underlying tissues</p> Signup and view all the answers

    When assessing tactile fremitus, what does increased fremitus indicate?

    <p>Fluid in the lungs</p> Signup and view all the answers

    How can a nurse assess chest shape and size during a thorax examination?

    <p>By measuring chest expansion</p> Signup and view all the answers

    Which percussion sound is associated with lung hyperinflation in conditions like COPD or pneumothorax?

    <p>Hyperresonance</p> Signup and view all the answers

    What is the best location to auscultate vesicular breath sounds?

    <p>Base of lung</p> Signup and view all the answers

    Which chest deformity is characterized by a lateral curvature or deviation of the spine?

    <p>Scoliosis</p> Signup and view all the answers

    What percussion sound is associated with a short, high-pitched extremely dull sound?

    <p>Flatness</p> Signup and view all the answers

    Which breath sound is described as high pitched, loud, and harsh, typically heard over the trachea?

    <p>Bronchial</p> Signup and view all the answers

    What is the main purpose of palpation in the assessment of the posterior thorax?

    <p>Feel for chest wall movement and presence of any masses</p> Signup and view all the answers

    When assessing tactile fremitus, what is the expected finding over areas with fluid in the lungs at the alveolar-capillary membrane?

    <p>Increased tactile fremitus</p> Signup and view all the answers

    Which percussion sound is commonly associated with pneumothorax or lobectomy?

    <p>Absence of breath sound</p> Signup and view all the answers

    In chest shape assessment, what does an anteroposterior diameter widening indicate?

    <p>Greater risk for pulmonary infections</p> Signup and view all the answers

    What is the correct interpretation if a patient presents with continuous, low-pitched, coarse, harsh sounds predominantly heard over trachea and bronchi?

    <p>Secretions or swelling narrowing air passages</p> Signup and view all the answers

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