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 ["A","B","C"]
Explanation
A. Resonance is a normal percussion sound heard over healthy lung tissue.
B. Tactile fremitus refers to the palpable vibration felt when a patient speaks and is normal in areas of healthy lung tissue.
C. Bronchovesicular sounds are normal breath sounds heard over the mainstem bronchi and are considered normal.
D. Rhonchi are adventitious sounds (abnormal) heard in conditions like bronchitis and would not be considered normal.
E. Crackles are also abnormal breath sounds often heard in conditions such as pneumonia or heart failure.
Correct Answer is B
Explanation
A. Lymph nodes are usually described as enlarged or swollen, not "lumped." This term is not typically used in the description of lymphadenopathy.
B. In cases of acute infection, lymphadenopathy is most often unilateral and localized to the area of infection. For example, if there is a throat infection, the lymph nodes on the same side of the neck are more likely to be enlarged.
C. Lymph nodes that are soft and nontender are more indicative of chronic conditions such as lymphoma or metastasis. In acute infections, lymph nodes tend to be firm and tender.
D. Firm but freely movable nodes may be indicative of chronic conditions or noninfectious causes. Acute infection typically leads to tender, swollen lymph nodes that may feel rubbery or hard but are usually movable.
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