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When auscultating the lungs to assess breath sounds, what anatomical landmark will indicate the bases of the lung fields?

The tips of the scapula

The bottom of the ribcage

The stomach

Thoracic vertebra #10 (T10)

Answer and Explanation

The Correct Answer is D

A. The tips of the scapula:
Approximates the 7th rib area but not the base of the lungs.

B. The bottom of the ribcage:
Too vague and imprecise as a landmark; the ribcage varies in individuals.

C. The stomach:
Refers to an abdominal organ-not an appropriate thoracic landmark.

D. Thoracic vertebra #10 (T10):
This is the posterior landmark for the bases of the lungs during normal respiration.

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Correct Answer is B

Explanation

A. Listening as the patient inhales and then go to the next site during exhalation:
Incomplete assessment-both inhalation and exhalation are needed to detect abnormalities.

B. Listening to at least one full respiration in each location:
This ensures that both phases of the respiratory cycle are assessed for abnormalities.

C. Listening to sounds through clothing or the hospital gown if the patient is shy:
Inappropriate. Breath sounds must be auscultated directly on skin for accurate assessment.

D. Having the patient breathe in and out rapidly while listening to the breath sounds:
Rapid breathing may distort or exaggerate sounds, making accurate assessment difficult.

A. "I need to go on to the next patient. I'll be back." B. "Did we forget something?" C. "Is there anything else you would like to discuss?" D. "While I'm here, let's talk about your upcoming surgery."

Correct Answer is C

Explanation

A. "I need to go on to the next patient. I'll be back.":
Dismissive and does not offer the patient closure or opportunity for final questions.

B. "Did we forget something?":
Too vague and passive, may confuse the patient or fail to elicit remaining concerns.

C. "Is there anything else you would like to discuss?":
Open-ended and encourages the patient to voice final thoughts or unresolved concerns.

D. "While I'm here, let's talk about your upcoming surgery.":
Introduces a new topic instead of concluding the interview.

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When auscultating the lungs to assess breath sounds, what anatomical landmark will indicate the bases of the lung fields?

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