Which shape should the nurse expect a client's chest to be when assessing a client who has COPD?

Pigeon

Barrel

Kyphotic

Funnel

Answer and Explanation

The Correct Answer is B

A. Pigeon chest (pectus carinatum) is a structural deformity of the chest and is not associated with COPD.

B. A barrel chest is commonly seen in clients with COPD due to hyperinflation of the lungs, causing the chest to appear rounded and expanded.

C. Kyphotic refers to an abnormal curvature of the spine (kyphosis) and is not a characteristic of COPD.

D. Funnel chest (pectus excavatum) is another structural deformity and is not typically associated with COPD.

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Correct Answer is D

Explanation

A. Bradypnea (slow breathing) may occur in various conditions but is not a defining characteristic of cyanosis.

B. A pale reddish color in the skin is not consistent with cyanosis, which indicates a lack of oxygen in the blood.

C. Somnolence (drowsiness) may be present in some patients, but it is not a specific finding related to cyanosis.

D. Mottled blue color in the skin is a classic sign of cyanosis, indicating inadequate oxygenation of the blood, especially in the extremities or areas with poor circulation.

A. The nurse will simultaneously touch the client in the same area on both sides of the body, and the client will identify where the touch occurred. B. The nurse will briefly touch the client, and the client will need to identify where the touch occurred. C. Client will close their eyes and identify what number the nurse writes in the palm of the client's hand with a blunt-ended object. D. The client is to identify the numbers of points felt when the nurse touches the client with the ends of two applicators at the same time.

Correct Answer is C

Explanation

A. This description relates more to a sensory discrimination test, not graphesthesia.

B. This option does not accurately describe the graphesthesia test, which involves identifying shapes or numbers rather than just touch location.

C. In the graphesthesia test, the client closes their eyes while the nurse uses a blunt object to write a number or shape in the client's palm, and the client must identify what was written. This assesses the ability to recognize letters or numbers drawn on the skin.

D. This option describes a two-point discrimination test rather than graphesthesia, which focuses on identifying drawn shapes or numbers.

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Which shape should the nurse expect a client's chest to be when assessing a client who has COPD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding should the nurse expect when assessing a client who is cyanotic?

Correct Answer is D

Explanation

A nurse is precepting a nursing student. The nurse explains to the nursing student how you would perform the graphesthesia test on a client. What is the correct way to perform this test?

Correct Answer is C

Explanation

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