The nurse is assessing the chest shape of a patient.
Which chest configuration describes a sunken in sternum and costal cartilage?
Elliptical chest.
Pectus excavatum.
Standard chest.
Barrel chest.
The Correct Answer is B
Choice A rationale
An elliptical chest describes the typical shape of a healthy chest with a lateral dimension greater than the anteroposterior dimension. This shape allows for normal expansion and contraction of the lungs during breathing. An elliptical chest does not indicate any deformity or abnormality in the sternum or costal cartilage.
Choice B rationale
Pectus excavatum, also known as funnel chest, is a congenital deformity where the sternum and costal cartilage are sunken inward, creating a concave appearance of the chest. This condition can range in severity and may affect respiratory function and exercise tolerance in some individuals. Surgical correction may be considered for severe cases.
Choice C rationale
A standard chest describes a chest without any deformities or abnormalities, typically with a normal elliptical shape. This term does not denote any specific condition or configuration and implies a healthy, non-deformed chest.
Choice D rationale
Barrel chest is characterized by an increased anteroposterior diameter of the chest, giving it a round or barrel-like appearance. This condition is often seen in individuals with chronic obstructive pulmonary disease (COPD) or emphysema, where the lungs are chronically overinflated, causing the chest to expand and lose its normal shape.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Allergic conjunctivitis is usually characterized by redness, itching, and watery discharge. It is often associated with allergic reactions to pollen, dust, or pet dander. The discharge in allergic conjunctivitis is typically clear and watery, not white and thick.
Choice B rationale
Viral conjunctivitis is often caused by adenovirus and is characterized by redness, watery discharge, and a gritty sensation in the eye. It is highly contagious and can spread through contact with infected individuals. The discharge in viral conjunctivitis is usually watery, not thick and white.
Choice C rationale
Bacterial conjunctivitis is characterized by redness, itching, and white, thick discharge. It is often caused by bacteria such as Staphylococcus aureus, Streptococcus pneumoniae, or Haemophilus influenzae. The thick discharge is a hallmark of bacterial infection, distinguishing it from allergic or viral conjunctivitis.
Choice D rationale
Cataracts involve the clouding of the eye's natural lens, leading to blurred vision and difficulty seeing at night. They do not cause redness, itching, or discharge from the eye. Cataracts affect the lens inside the eye, not the conjunctival sac.
Correct Answer is D
Explanation
Choice A rationale
While the upper outer quadrant can be prone to injury and calcifications, this is not the primary reason for its importance in breast examinations. Calcifications can occur in various parts of the breast and are often detected through mammography rather than physical examination.
Choice B rationale
Suspensory ligaments, also known as Cooper's ligaments, provide structural support to the breast. They attach to the skin and the underlying pectoral fascia. However, these ligaments are distributed throughout the breast and are not confined to the upper outer quadrant.
Choice C rationale
The upper outer quadrant is not the largest quadrant of the breast. All quadrants have relatively similar sizes. Therefore, the size of the quadrant is not the reason for its importance in breast examinations.
Choice D rationale
The upper outer quadrant of the breast is the most common location for breast tumors. This is because a significant portion of the breast tissue, including the axillary tail (an extension of breast tissue into the armpit), is located in this quadrant. Therefore, careful examination of this area is crucial for early detection of breast cancer.
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