N113: Thorax Assessment Spring 2024 Quiz

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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?

By tapping various areas to determine internal organ condition Signup and view all the answers

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

Abnormal chest shape Signup and view all the answers

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

Tactile fremitus Signup and view all the answers

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

Percussion Signup and view all the answers

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

Determining density of underlying tissues Signup and view all the answers

When assessing tactile fremitus, what does increased fremitus indicate?

Fluid in the lungs Signup and view all the answers

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

By measuring chest expansion Signup and view all the answers

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

Hyperresonance Signup and view all the answers

What is the best location to auscultate vesicular breath sounds?

Base of lung Signup and view all the answers

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

Scoliosis Signup and view all the answers

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

Flatness Signup and view all the answers

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

Bronchial Signup and view all the answers

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

Feel for chest wall movement and presence of any masses 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?

Increased tactile fremitus Signup and view all the answers

Which percussion sound is commonly associated with pneumothorax or lobectomy?

Absence of breath sound Signup and view all the answers

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

Greater risk for pulmonary infections 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?

Secretions or swelling narrowing air passages Signup and view all the answers