315 LM Chapter 19 pre/post

a bony ridge located at the point where the manubrium articulates with the body of the sternum is termed the sternal a. angle b. notch c.space d. prominens

a. angle

The nurse assesses an adult client and observes that the client's breathing pattern is very labored and noisy, with occasional coughing. The nurse should refer the client to a physician for possible a. chronic bronchitis b. atelectasis c. renal failure d. congestive heart failure

a. chronic bronchitis

The nurse has assessed the respiratory pattern of an adult client. The nurse determines that the client is exhibiting kussmaul respirations with hyperventilation. The nurse should contact the client's physician because this type of respiratory pattern usually indicates a. diabetic ketoacidosis b. central nervous system injury c. drug overdose d. CHF

a. diabetic ketoacidosis

the thin-double layered serous membrane that lines the chest cavity is termed a. parietal pleura b. pulmonary pleura c. visceral pleura d. thoracic pleura

a. parietal pleura

While assessing an adult client's lungs during the postoperative period, the nurse detects coarse crackles. The nurse should refer the client to a physician for possible a. pneumonia b. pleuritis c. brochitis d. asthma

a. pneumonia

the nurse assess an adult client's thoracic area and observes a markedly sunken sternum and adjacent cartilages. The nurse should document the client's a. pectus thorax b. pectus excavatum c. pectus carinatum d. pectus diaphram

b. pectus excavatum

the apex of each lung is located at a. level of the diaphragm b. area slightly above the clavicle c. level of the sixth rib d. left oblique fissure

b. slightly above clavicle

the spinous process termed the vertebra prominens is in which cervical vertebra a. 5th b. 6th c. 7th d. 8th

c. 7th

The nurse is preparing to auscultate the posterior thorax of an adult female client. The nurse should a. place the bell of the scope firmly on the posterior chest wall b. auscultate from the base of the lungs to the apices c. ask the client to breathe deeply from her mouth d. ask the client to breathe normally through her nose

c. Ask the client to breathe deeply through her mouth

The nurse is planning to percuss the chest of an adult male client for diaphramagtic excursion. The nurse should begin the assessment by a. asking the client to take a deep breath and hold it b. percussing upward from the base of the lungs c. percussing downward until the tone changes to resonance d. asking the client to exhale forcefully and hold his breath

d. Asking the client exhale forcefully and hold his breath

While assessing an adult client, the nurse observes decreased chest expansion at the bases of the client's lungs. The nurse should refer the client to a physician for possible a. atelectasis b. pneumonia c. chest trauma d. COPD

d. COPD

The nurse assesses an adult client breath sounds and hears sonorous wheezes, primarily during the client's expiration. The nurse should refer the client to a physician for a possible a. asthma b. chronic emphysema c. pleuritis d. bronchitis

d. bronchitis

the lining of the trachea and bronchi, which serves to remove dust, foreign bodies, and bacteria is a. bocnioles b. alveolar sacs c. alveolar ducts d. cilia

d. cilia

The client has been admitted through the emergency department with chronic bronchitis, has elevated CO2 levels, and has been placed on O2, what priority assessment would the nurse include? a.assess signs of nonproductive cough b. review blood work including RBC and WBC c. Assess the characteristics of sputum d. evaluate changes in respiratory pattern and rate

d. evaluate changes in respiratory pattern and rate

the strongest stimulus to breathe, under normal circumstances a. hypoxemia b. hypocapnia c. pH changes d. hypercapnia

d. hypercapnia

While assessing an adult client, the client tells the nurse that she "has had difficulty catching her breath since yesterday." The nurse should assess the client further for signs and symptoms of a. emphysema b. cardiac disease c. trauma to the chest d. infection

d. infection

the clavicles extend from the acromion of the scapula to the part of the the sternum is termed a. body b.xiphoid process c. angle d. mnaubrium

d. manubrium

The nurse is planning a presentation to a group of high school students on the topic of lung cancer. Which of the following should the nurse plan to include in the presentation? a. compared with whites in the US, African Americans have a lower incidence of lung cancer b. lung cancer is the 3rd leading cause of death in the US c. There is a higher incidence of lung cancer in women than men in the US d. studies have indicated that there is a genetic component in the development of lung cancer

d. studies have indicated that there is a genetic component in the development of lung cancer

An adult client visits the clinic and tells the nurse that he has been "spitting up rust-colored sputum." The nurse should refer the client to the physician for possible a. pulmonary edema b. brochitis c. asthma d. tuberculosis

d. tuberculosis

While assessing the thoracic area of an adult client, the nurse plans to auscultate for voice sounds. To assess bronchophony, the nurse should ask the client to a. repeat the phrase "ninety-nine" b. repeat the letter "E" c. whisper the phrase "one-two-three" d. repeat the letter "A"

Repeat the phrase "ninety-nine"