24 Questions
What is the primary focus of inspection in assessing respiratory function?
Observing the use of accessory muscles and posture
What is the starting point for palpating the lungs?
The midline at the level of the left scapula
What is the sequence of palpation when assessing the lungs?
Left to right and then downward
What type of breath sounds are typically heard in the posterior thorax?
Vesicular sounds
What is the characteristic of breath sounds in consolidative lung disease?
Dull sounds in the affected lobe
What is the effect of obstructive atelectasis on lung size?
Decreased lung size
What is the purpose of percussing the anterior thorax?
To detect abnormal percussion tones
What is the characteristic of breath sounds in the anterior thorax?
A combination of bronchial, vesicular, and bronchovesicular sounds
What is the function of the lubricating serous fluid between the pleural layers?
It allows movement of the visceral layer over the parietal layer without friction.
Vertical expansion during breathing is primarily accomplished by which muscle?
Diaphragm
What occurs during the expiration phase of breathing?
The diaphragm relaxes and creates a positive pressure.
Where is the pleura space located?
Between the parietal pleura and visceral pleura
Which part of the brain is responsible for involuntary control of respiration?
Medulla and pons
How do the intercostal muscles aid in breathing?
By lifting the sternum and elevating the ribs
What is the main purpose of respiration?
To maintain an adequate oxygen level in the blood
How do changes in respiratory patterns affect the body?
They can cause acid-base imbalances.
Which initial observation might indicate a respiratory problem in a client during thorax examination?
Difficulty in breathing
What is the correct order of physical examination techniques for a complete thorax examination?
Inspection, palpation, percussion, auscultation
What equipment is essential for a thorax and lung examination?
Stethoscope, light source, skin marker
Which area should be inspected for nasal flaring and pursed lip breathing?
Anterior thorax
What position should the client be in to inspect the shape and configuration of the scapulae?
Sitting with arms at the sides
What should be done to ease a female client's anxiety during a thorax examination?
Explain that exposure of the entire chest is necessary
What is a clinical tip regarding the inspection of the thorax?
Inspect the entire thorax first, followed by palpation, percussion, and auscultation
Which step is essential for promoting client comfort during a thorax examination?
Keeping hands warm
Observe and assess a client's breathing patterns, posture, and muscle use. Palpate for tenderness, sensation, and other indicators. A crucial step in respiratory system evaluation.
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