Thorax Assessment Spring 2024: Chest and Palpation Findings

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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?

AP to transverse diameter Signup and view all the answers

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

Commonly heard in heart failure Signup and view all the answers

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

Kyphosis Signup and view all the answers

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

Asthma 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

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

Client participation in setting health goals Signup and view all the answers

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

Tracheomalacia Signup and view all the answers

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

'Orange peel' appearance of the skin Signup and view all the answers

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

Using the diaphragm of the stethoscope Signup and view all the answers

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

'Recent change in breast size' Signup and view all the answers

Which lung condition is associated with tympanic percussion sounds?

Pneumothorax Signup and view all the answers

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

'Superficial grating or creaking sounds' Signup and view all the answers

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

Gastric air bubble Signup and view all the answers

'Friction rub' sounds heard during thorax assessment suggest:

'Inability of pleural surfaces to glide silently' Signup and view all the answers

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

'Bronchial' Signup and view all the answers

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

'Bronchovesicular' Signup and view all the answers

What is the normal respiratory rate for adults?

12 to 20 BPM Signup and view all the answers

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

Base Signup and view all the answers

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

1:2 Signup and view all the answers

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

Olfaction Signup and view all the answers

How many lobes are present in the right lung?

Three 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?

Viscera of thorax Signup and view all the answers

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

Rhythm, depth, and effort Signup and view all the answers

Which factor is not considered during chest palpation?

Age variations Signup and view all the answers

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

Oval Signup and view all the answers

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

1:2 Signup and view all the answers

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

Asymmetric and/or decreased chest expansion Signup and view all the answers

What is tactile fremitus defined as in thorax assessment?

The vibration felt through the chest wall when the client speaks Signup and view all the answers

What is the purpose of percussion in medical diagnosis?

To determine by resonance the condition of internal organs Signup and view all the answers

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

Masses Signup and view all the answers

How should a normal chest expand during inspiration?

Thumbs should separate 2 inches during inspiration Signup and view all the answers