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When performing a respiratory assessment on a patient, the nurse notices a costal vertebral angle (CVA) of approximately 160 degrees. How would finding?

A.

a sign of congestive heart failure

B.

a normal finding in a healthy adult.

C.

seen in patients with kyphosis.

D.

indicative of a pneumothorax.

E.

an expected finding in a patient with a barrel chest.

Answer and Explanation

The Correct Answer is C

A. CVA tenderness is associated with renal issues, not directly with congestive heart failure.

 

B. A CVA angle of 160 degrees is abnormal; a normal angle is closer to 90 degrees, indicating potential issues.

 

C. A greater CVA angle can be observed in patients with kyphosis, where the spine curves excessively, affecting rib positioning.

 

D. A pneumothorax typically results in reduced breath sounds and tracheal deviation, not specifically linked to CVA angle changes.

 

E. A barrel chest results in an increased AP diameter, not typically associated with CVA angle changes.


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View Related questions

Correct Answer is C

Explanation

A. "Leave" is not a part of the LEARN mnemonic.

B. "Leverage" is also not included in the LEARN mnemonic.

C. "Listen" is the correct answer; it encourages active listening to understand the client’s cultural needs and perspectives.

D. While "Look" may imply observation, it is not a component of the LEARN mnemonic.

E. "Liken" is not part of the LEARN mnemonic and is not relevant here.

Correct Answer is ["A","C"]

Explanation

A. Pulmonic valve closure is best heard at the base of the heart, near the second intercostal space at the left sternal border.

B. Tricuspid valve sounds are best heard at the lower left sternal border, near the apex rather than the base of the heart.

C. Aortic valve closure is also best heard at the base of the heart, near the second intercostal space on the right sternal border.

D. Mitral valve sounds are heard best at the apex of the heart, near the fifth intercostal space in the midclavicular line, not the base.

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