On palpation of the skin of the thorax, the nurse feels crunching. The nurse documents this as:
(4 Points)
fremitus
crepitus
eupnea
rales
3.
The nurse is assessing an infant on a well visit and notices the chest shape is rounded. In response to this
finding, the nurse:
(4 Points)
Assesses for signs of respiratory distress
Asks a second nurse to verify the finding
Asks the parent if the child recently was injured
Documents this as an expected finding
4.
The nurse is performing a comprehensive respiratory interview. Which one of the following would not be
appropriate to include in the interview?
(4 Points)
"Do you include iron rich foods in your diet?"
"When was the onset of your pectus excavatum?"
"Are you exposed to any irritants at work?"
"How many pillows do you sleep on?"
5.
Which of the following abnormalities may affect breathing and lung expansion?
Select all that apply.
(4 Points)
Scoliosis
Pectus carinatum
, Pectus excavatum
Kyphosis
6.
The parent calls the nurse advice line stating the child ate a food that caused a known allergic reaction.
The parent states the child is having difficulty breathing and a high-pitched sound is heard with
breathing. The nurse suspects:
(4 Points)
stridor
bronchitis
viral pneumonia
bacterial pneumonia
7.
Smoking tobacco products is associated with respiratory diseases such as emphysema and lung cancer.
(4 Points)
False
True
8.
A client enters the emergency room by ambulance after an accident. The nurse suspects a
pneumothorax after finding an increased respiratory rate and absent breath sounds to the left lower
lobe of the lung. Which of the following is a priority for the nurse to include in the assessment?
(4 Points)
assessing for fever
respiratory expansion
palpation for edema
asking the client to cough
9.
The school nurse is offering a class to high school students on breast cancer. Which of the following are
known risk factors for development of breast cancer?
Select all that apply
(4 Points)
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