Respiratory System Assessment

What is the primary focus of inspection in assessing respiratory function?

Palpating for tenderness and sensation
Observing the use of accessory muscles and posture (correct)
Percussing the anterior thorax
Auscultating the posterior thorax

What is the starting point for palpating the lungs?

The apex of the right lung
The midline at the level of the left scapula (correct)
The lateral portions of the lungs at the bases
The midline at the level of the right scapula

What is the sequence of palpation when assessing the lungs?

Left to right and then downward (correct)
Upward and then right to left
Right to left and then downward
Downward and then left to right

What type of breath sounds are typically heard in the posterior thorax?

Vesicular sounds (A) Signup and view all the answers

What is the characteristic of breath sounds in consolidative lung disease?

Dull sounds in the affected lobe (C) Signup and view all the answers

What is the effect of obstructive atelectasis on lung size?

Decreased lung size (B) Signup and view all the answers

What is the purpose of percussing the anterior thorax?

To detect abnormal percussion tones (C) Signup and view all the answers

What is the characteristic of breath sounds in the anterior thorax?

A combination of bronchial, vesicular, and bronchovesicular sounds (A) Signup and view all the answers

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. (A) Signup and view all the answers

Vertical expansion during breathing is primarily accomplished by which muscle?

Diaphragm (D) Signup and view all the answers

What occurs during the expiration phase of breathing?

The diaphragm relaxes and creates a positive pressure. (A) Signup and view all the answers

Where is the pleura space located?

Between the parietal pleura and visceral pleura (B) Signup and view all the answers

Which part of the brain is responsible for involuntary control of respiration?

Medulla and pons (C) Signup and view all the answers

How do the intercostal muscles aid in breathing?

By lifting the sternum and elevating the ribs (A) Signup and view all the answers

What is the main purpose of respiration?

To maintain an adequate oxygen level in the blood (C) Signup and view all the answers

How do changes in respiratory patterns affect the body?

They can cause acid-base imbalances. (A) Signup and view all the answers

Which initial observation might indicate a respiratory problem in a client during thorax examination?

Difficulty in breathing (A) Signup and view all the answers

What is the correct order of physical examination techniques for a complete thorax examination?

Inspection, palpation, percussion, auscultation (C) Signup and view all the answers

What equipment is essential for a thorax and lung examination?

Stethoscope, light source, skin marker (A) Signup and view all the answers

Which area should be inspected for nasal flaring and pursed lip breathing?

Anterior thorax (C) Signup and view all the answers

What position should the client be in to inspect the shape and configuration of the scapulae?

Sitting with arms at the sides (B) Signup and view all the answers

What should be done to ease a female client's anxiety during a thorax examination?

Explain that exposure of the entire chest is necessary (B) Signup and view all the answers

What is a clinical tip regarding the inspection of the thorax?

Inspect the entire thorax first, followed by palpation, percussion, and auscultation (C) Signup and view all the answers

Which step is essential for promoting client comfort during a thorax examination?

Keeping hands warm (D) Signup and view all the answers