Thorax Assessment Spring 2024: Chest and Palpation Findings

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Questions and Answers

What is the priority patient problem associated with impaired gas exchange due to fluid in the lungs at the alveolar-capillary membrane?

  • Disturbed Body Image
  • Impaired Airway Clearance
  • Activity Intolerance
  • Dyspnea (correct)

Which type of breath sounds is described as soft-intensity, low-pitched, and heard over most lung fields?

  • Tympanic
  • Bronchial
  • Vesicular (correct)
  • Bronchovesicular

What is the common cause of fine crackles (rales) heard during inspiration?

  • Bronchitis
  • Heart Failure
  • Emphysema
  • Pneumonia (correct)

A barrel chest is characterized by a ratio of which diameters being 1:1?

<p>AP to transverse diameter (C)</p> Signup and view all the answers

What is a characteristic of coarse crackles (rales) heard during expiration?

<p>Commonly heard in heart failure (A)</p> Signup and view all the answers

Which condition is characterized by an excessive curve in the lumbar spine, slack tummy muscles, and protruding buttocks?

<p>Kyphosis (A)</p> Signup and view all the answers

Which lung condition is described by continuous, low-pitched, coarse, harsh sounds with a 'snoring quality'?

<p>Asthma (C)</p> Signup and view all the answers

What is the best location to auscultate vesicular breath sounds?

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

What is the primary health promotion focus when screening clients for thorax and lung assessments?

<p>Client participation in setting health goals (B)</p> Signup and view all the answers

Which condition is indicated by high-pitched, loud, harsh sounds heard over the trachea?

<p>Tracheomalacia (A)</p> Signup and view all the answers

Which finding during breast assessment would raise concern for breast cancer?

<p>'Orange peel' appearance of the skin (B)</p> Signup and view all the answers

What is the preferred technique to detect high-pitched sounds such as normal heart sounds and bowel sounds?

<p>Using the diaphragm of the stethoscope (D)</p> Signup and view all the answers

In breast assessment, what findings should prompt immediate attention and further evaluation for potential malignancy?

<p>'Recent change in breast size' (D)</p> Signup and view all the answers

Which lung condition is associated with tympanic percussion sounds?

<p>Pneumothorax (B)</p> Signup and view all the answers

'Abnormal breath sounds' related to thorax assessment would be characterized by:

<p>'Superficial grating or creaking sounds' (C)</p> Signup and view all the answers

'Drum-like' percussion sounds are most likely indicative of which condition?

<p>Gastric air bubble (B)</p> Signup and view all the answers

'Friction rub' sounds heard during thorax assessment suggest:

<p>'Inability of pleural surfaces to glide silently' (B)</p> Signup and view all the answers

'Thud-like' dull percussion sounds are typically associated with what kind of lung sound?

<p>'Bronchial' (A)</p> Signup and view all the answers

'Blowing' sound created by air movement through larger airways is characteristic of which type of breath sound?

<p>'Bronchovesicular' (B)</p> Signup and view all the answers

What is the normal respiratory rate for adults?

<p>12 to 20 BPM (B)</p> Signup and view all the answers

Which thoracic landmark is described as broad, concave, and rests upon the convex surface of the diaphragm?

<p>Base (A)</p> Signup and view all the answers

What is the normal inspiration to expiration ratio during breathing in adults?

<p>1:2 (C)</p> Signup and view all the answers

Which of the following is not a method used in chest assessment?

<p>Olfaction (B)</p> Signup and view all the answers

How many lobes are present in the right lung?

<p>Three (A)</p> Signup and view all the answers

Which part of the chest shows the various parts of the heart, lungs, and ribs in an anterior view?

<p>Viscera of thorax (A)</p> Signup and view all the answers

What should be observed regarding the rhythm, depth, and effort of breathing during general inspection of the chest?

<p>Rhythm, depth, and effort (A)</p> Signup and view all the answers

Which factor is not considered during chest palpation?

<p><em>Age variations</em> (A)</p> Signup and view all the answers

What is the normal shape of the chest, according to the text?

<p>Oval (A)</p> Signup and view all the answers

If the Anterior-Posterior (AP) Diameter is half the transverse diameter, what is the ratio?

<p>1:2 (C)</p> Signup and view all the answers

During palpation of the posterior thorax, what is considered an abnormal finding?

<p>Asymmetric and/or decreased chest expansion (C)</p> Signup and view all the answers

What is tactile fremitus defined as in thorax assessment?

<p>The vibration felt through the chest wall when the client speaks (C)</p> Signup and view all the answers

What is the purpose of percussion in medical diagnosis?

<p>To determine by resonance the condition of internal organs (B)</p> Signup and view all the answers

What finding during palpation of the posterior thorax would indicate a significant issue?

<p>Masses (C)</p> Signup and view all the answers

How should a normal chest expand during inspiration?

<p>Thumbs should separate 2 inches during inspiration (B)</p> Signup and view all the answers

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