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100 %Q&A NURSING WEEK 8 A+

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The palpation technique used to assess respiratory expansion of the chest is placing the hands on the eight or tenth ribs posteriorly with the thumbs close to the vertebrae, sliding the hand medially ... and grasping a small fold of skin between the thumbs. Then: A. ask the patient to cough and note chest expansion. B. ask the patient to take a deep breathe and note any delay in expansion during inhalation. C. have the patient hold his breath for 15 seconds then note chest expansion. D. have the patient exhale forcefully noting expansion on expiration. Explanation: To assess the respiratory expansion of the chest, the examiner places his hands on the eight or tenth ribs posteriorly with the thumbs close to the vertebrae, slides the hand medially and grasps a small fold of skin between the thumbs then asks the patient to take a deep breath. The thumbs should move evenly away from the vertebrae during inspiration and there should be no delay in expansion. Question 4 When trying to differentiate between hemoptysis or blood streaked material, which one of the following observations is correct? A. Hemoptysis is seen frequently in infants, children, and adolescents with allergic rhinitis. B. Blood originating in the stomach is usually brighter than blood originating from the respiratory tract. C. IHemoptysis is common in children with cystic fibrosis. D. Blood streaked material often originates from the gastrointestinal tract. Explanation: Hemoptysis is rare in infants, children, and adolescents, although common in those with cystic fibrosis. Blood originating in the stomach is usually darker than blood from the respiratory tract and may be mixed with food particles. Blood or blood-streaked material may originate in the mouth, pharynx, or less commonly from the gastrointestinal tract. Question 5 When percussing the chest in a patient who has left sided heart failure, the sound emanated would be: A. resonant. [Show More]

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