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Which statement by the nurse indicates the correct order of steps to take when performing a focused assessment of the respiratory system?

A.

"I would palpate, inspect, percuss, and the auscultate.”

B.

"I would percuss, palpate, auscultate, and then inspect.”

C.

"I would auscultate, inspect, percuss, and then palpate."

D.

"I would inspect, auscultate, palpate, and then percuss."

E.

"I would inspect, palpate, percuss, then auscultate.”

Answer and Explanation

The Correct Answer is E

A. Palpate, inspect, percuss, and then auscultate is not the correct order, as inspection is always performed first.

 

B. Percuss, palpate, auscultate, and then inspect is incorrect, as inspection should come first.

 

C. Auscultate, inspect, percuss, and then palpate is also incorrect, as auscultation is typically the last step.

 

D. Inspect, auscultate, palpate, and then percuss is close but does not follow the standard order.

 

E. Inspect, palpate, percuss, then auscultate is the correct order for respiratory assessment, allowing for a thorough and systematic approach.


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Correct Answer is C

Explanation

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.

Correct Answer is B

Explanation

A. While posterior to anterior comparisons are used, they do not encompass the entire technique for auscultation.

B. Side-to-side comparison is the correct method as it allows for immediate assessment of differences between lung fields and helps to identify abnormal sounds effectively.

C. Interspace-by-interspace comparison is not a commonly recognized term for this method and can lead to confusion in technique.

D. Proximal to distal comparison is not specific to lung auscultation and does not effectively apply to lung assessment.

E. Top-to-bottom comparison may miss abnormalities in a specific region of the lungs; side-to-side is preferred.

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