18 Questions
Which position should the examiner note the client is in when assessing the ability to support weight while breathing comfortably?
Leaning forward with arms supporting weight
During palpation, what could tender or painful areas over the ribs, especially at the costal chondral junctions, indicate?
Fractured ribs
What might pain over the intercostal spaces indicate during palpation?
Inflamed pleurae
When examining for crepitus during palpation, what does palpable crepitus indicate?
Subcutaneous emphysema
What does the absence of palpable crepitus suggest during examination?
Normal lung function
In which position should a client be ideally positioned for assessment in cases of acute and chronic airway obstruction or atelectasis?
Leaning forward with arms supporting weight
What is the purpose of palpating for tenderness and surface masses over the lung area?
To check for signs of inflammation or abnormal growths
In which scenario can tenderness over thoracic muscles be commonly observed?
Due to engaging in vigorous exercises like push-ups
What condition might be suspected if hyperresonance is elicited during percussion of the lungs?
Emphysema
When palpating for crepitus, what abnormal sensation might be felt by the examiner?
Crackling or grating under the skin
During auscultation, what are adventitious breath sounds?
Abnormal breath sounds such as wheezing or crackles
Why is it important to listen at each site for at least one complete respiratory cycle during auscultation?
To detect subtle changes in breath sounds over time
What is the purpose of assessing for fremitus during a physical examination?
To evaluate the intensity of vibrations in the bronchial tubes transmitted to the chest wall
Why might a client need to speak louder during fremitus assessment?
If fremitus is not palpable on either side
What condition might lead to an increase in fremitus?
Pleural effusion
How should the examiner position the client when assessing for chest expansion?
Standing upright
What does it indicate if the examiner's thumbs move asymmetrically when assessing chest expansion?
Barrel chest deformity
During palpation for crepitus, what might be a potential cause of crepitus under the skin?
Air trapping in emphysema
Test your knowledge on identifying deviations and normal postures during respiratory assessments. Learn about the significance of trapezius and shoulder muscles in facilitating inspiration in cases of airway obstruction or atelectasis. Practice recognizing the differences between a client's sitting posture and the tripod position.
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