The primary respiratory muscles engaged in normal inspiration include the:

Diaphragm and intercostals.

Trapezius and rectus abdominis.

Sternomastoid and scalene.

External obliques and pectoralis major.

Answer and Explanation

The Correct Answer is A

A. Diaphragm and intercostals:
These are the major muscles responsible for normal, quiet inspiration by expanding the thoracic cavity.

B. Trapezius and rectus abdominis:
Accessory muscles used in forced respiration, not normal breathing.

C. Sternomastoid and scalene:
Also accessory muscles used during labored or deep breathing—not typical in quiet respiration.

D. External obliques and pectoralis major:
These may assist with forced exhalation but are not primary muscles for normal inspiration.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Increased vascularity of the skin in the older adult:
Aging is associated with reduced vascularity, contributing to slower wound healing.

B. An increase in elastin and a decrease in subcutaneous fat in the older adult:
Elastin decreases, not increases, with age.

C. An increased loss of elastin and a decrease in subcutaneous fat in the older adult:
Loss of elastin and subcutaneous tissue leads to thinning, wrinkling, and sagging of the skin.

D. Increased number of sweat and sebaceous glands in the older adult:
These decrease with age, leading to dry skin.

A. Assess again in 20 minutes to note whether the sound is still present. B. Immediately notify the patient's physician. C. Validate the data by asking a coworker to listen to the breath sounds. D. Document the sound exactly as it was heard.

Correct Answer is C

Explanation

A. Assess again in 20 minutes to note whether the sound is still present:
Delaying reassessment without validating the data may result in missing an important clinical finding that requires immediate attention.

B. Immediately notify the patient's physician:
Not appropriate unless the data has been validated. Calling the physician with uncertain information could result in miscommunication.

C. Validate the data by asking a coworker to listen to the breath sounds:
The correct action. When unsure, the nurse should confirm findings to ensure accuracy and safe decision-making.

D. Document the sound exactly as it was heard:
Documentation should be accurate, but if the nurse is unsure, they should validate the finding first before recording it.

View Question and Answer

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The primary respiratory muscles engaged in normal inspiration include the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to:

Correct Answer is C

Explanation

When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. The nurse's next action should be to:

Correct Answer is C

Explanation

The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement? The nurse:

The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles produces which adventitious sounds?

The nurse is assessing a 64-year-old patient whose vital signs are normal, with a capillary refill time of 5 seconds. What should the nurse do next?

The nurse is meeting a new family that recently emigrated from Africa. What question might the nurse ask to gather the family's perspectives on ethnicity?

A young mother and her three young children are attending clinic today. During assessment, what information might cause the nurse to have concerns about the family's health?

Which of these statements represents subjective data the nurse obtained from the patient regarding the patient's skin?

Which protective and adaptive function does the skin have? (Select all that apply.)

The patient's record, laboratory studies, objective data, and subjective data combine to form the: