Exam (elaborations)
Health Assessment_ Assessing Thorax and Lungs 2024 QUESTIONS & ANSWERS SOLVED 100-
- Course
- Institution
Health Assessment_ Assessing Thorax and Lungs 2024 QUESTIONS & ANSWERS SOLVED 100-
[Show more]
Seller
Follow
Content preview
8/14/24, 4:52 AMHealth Assessment: Assessing Thorax and Lungs
Jeremiah
Terms in this set (22)
1/7
, 8/14/24, 4:52 AM
A 21-year-old college senior presents to the Correct response: Asthma
clinic reporting shortness of breath and a Explanation: Asthma causes shortness of breath and a nocturnal cough. It is often
nonproductive nocturnal cough. She states associated with a history of allergies and can be exacerbated by exercise or irritants
she used to feel this way only with extreme such as smoke in a bar. On auscultation there can be normal to decreased air
exercise, but lately she has felt this way movement. Wheezing is heard on expiration and sometimes inspiration. The duration of
continuously. She denies any other upper wheezing in expiration usually correlates with the severity of illness, so it is important to
respiratory, gastrointestinal, and urinary document this length (e.g., wheezes heard halfway through exhalation). In severe
symptoms and says she has no chest pain. asthma, wheezes may not be heard because of the lack of air movement. Paradoxically,
Her past medical history is significant only these clients may have more wheezes after treatment, which actually indicates an
for seasonal allergies, for which she takes a improvement in condition. Peak flow measurements help to discern this. (less)
nasal steroid spray; she takes no other Reference: Chapter 19: Assessing Thorax and Lungs, p. 385.
medications. She has had no surgeries. Her
mother has allergies and eczema; her father
has high blood pressure. She is an only child.
She denies smoking and illegal drug use but
drinks three to four alcoholic beverages per
weekend. She is a junior in finance at a local
university and has recently started a job as a
bartender in town. On examination she is in
no acute distress. Temperature is 98.6, blood
pressure is 120/80, pulse is 80, and
respirations are 20. Head, eyes, ears, nose,
and throat examinations are essentially
normal. Inspection of her anterior and
posterior chest shows no abnormalities. On
auscultation of her chest, there is decreased
air movement and a high-pitched whistling
on expiration in all lobes. Percussion reveals
resonant lungs. Which disorder of the thorax
or lung does this presentation best
describe?
a) Spontaneous pneumothorax
b) Chronic obstructive pulmonary disease
(COPD)
c) Asthma
d) Pneumonia
When percussing the anterior chest for tone, Correct response: Resonance
a nurse should anticipate what tone over the Explanation:
majority of the lung fields? Normal lung tissue elicits a resonance tone when percussed. Hyperresonance is
elicited in cases of trapped air such as in emphysema or pneumothorax. Dullness may
a) Resonance characterize areas of increased density such as consolidation, pleural effusion, or
b) Tympany tumor. Tympany is elicited over air filled spaces such as puffed out check or stomach
c) Hyperresonance bubble. (less)
d) Dullness Reference: Chapter 19: Assessing Thorax and Lungs, p. 387.
2/7
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Denyss. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79271 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now