During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of:
Increased tactile fremitus and dull percussion tones.
Muffled voice sounds and symmetric tactile fremitus.
Adventitious sounds and limited chest expansion.
Absent voice sounds and hyper resonant percussion tones.
The Correct Answer is B
A. Increased tactile fremitus and dull percussion tones would suggest consolidation or pathology, which is not normal.
B. Muffled voice sounds and symmetric tactile fremitus are normal findings in healthy lung tissue.
C. Adventitious sounds and limited chest expansion would indicate pathology such as pneumonia or other lung diseases.
D. Absent voice sounds and hyper resonant percussion tones would be indicative of a pneumothorax or emphysema, not normal lung findings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Xerostomia (dry mouth) is common in some conditions but not typically associated with a stroke.
B. Rhinorrhea (runny nose) is not a typical finding related to stroke.
C. Dysphagia (difficulty swallowing) is a common issue for patients after a stroke, especially if the stroke affects the areas of the brain responsible for swallowing.
D. Epistaxis (nosebleed) is not a direct consequence of a stroke. The nurse should be more concerned with symptoms related to swallowing, speech, and motor function, such as dysphagia.
Correct Answer is ["A","B","E"]
Explanation
A. The timing of the murmur (systolic or diastolic) is an essential component of murmur assessment. It
helps in determining the cause of the murmur, whether it’s related to heart valves or flow.
B. Radiation refers to where the murmur can be heard best, or if it radiates to other parts of the chest or neck, helping to indicate the origin of the murmur.
C. Fremitus is a term used to describe the vibrations felt on the chest wall when a person speaks, which is unrelated to heart murmurs.
D. Egophony refers to an abnormal lung sound heard during auscultation and is not relevant to the assessment of a heart murmur.
E. The location where the murmur is heard best on the chest wall is crucial in determining its origin, such as whether it is coming from the aortic or mitral valve.
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