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aat21 aat21
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Posts: 343
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6 years ago
During the assessment of a patient's respiratory status, the nurse locates the manubrium and the body of the sternum. Which anatomical structure is the nurse assessing?
 
  1. Adam's apple
  2. Angle of Louis
  3. intercostal space
  4. xiphoid process

Question 2

During an assessment, a patient begins to cough. What should the nurse realize about this finding?
 
  1. The patient has a cold.
  2. The patient is nervous.
  3. Something other than air was entering the larynx.
  4. Something other than air was entering the epiglottis.

Question 3

During the assessment of a patient, the nurse locates the approximate position of the larynx. This can be found by identifying what body structure?
 
  1. clavicle
  2. Adam's apple
  3. first rib
  4. shoulder joint

Question 4

A patient is demonstrating poor exhalation. The nurse realizes that this patient is at risk for developing what health problem?
 
  1. pleurisy
  2. pulmonary edema
  3. increased carbon dioxide levels
  4. reduced oxygen capacity of red blood cells

Question 5

A patient is diagnosed with a middle ear infection. The nurse realizes that which portion of the patient's airway is affected?
 
  1. nasopharynx
  2. oropharynx
  3. laryngopharynx
  4. nares
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wrote...
6 years ago
The answer to question 1

Correct Answer: 2
The junction between the manubrium and the body of the sternum is called the manubriosternal junction, or the angle of Louis. Intercostal space refers to the space between the ribs. The xiphoid process is on the end tip of the sternum. The Adam's apple is located on the larynx.

The answer to question 2

Correct Answer: 3
If anything other than air enters the larynx, a cough reflex expels the foreign substance before it can enter the lungs. It does not necessarily mean that the patient has a cold. Being nervous is not typically associated with coughing. The epiglottis is a valvelike piece of tissue, and nothing can enter it.

The answer to question 3

Correct Answer: 2
The larynx is framed by the thyroid, the cricoid, and the epiglottis cartilages and connected by ligaments and membranes. The thyroid cartilage is formed by the fusion of two cartilages; the fusion point is visible as the Adam's apple. The clavicle, first rib, and shoulder joint are not near the location of the larynx.

The answer to question 4

Correct Answer: 3
During expiration, the carbon dioxide is expelled. If the patient cannot exhale effectively, carbon dioxide can build up. Pleurisy is pain upon inspiration. Pulmonary edema may accumulate as a result of poor inhalation, not exhalation. Poor exhalation does not have an effect on the oxygen carrying capacity of red blood cells.

The answer to question 5

Correct Answer: 1
The eustachian tubes also open into the nasopharynx, and connect it with the middle ear. This is the opening from the nasal passages to the back of the throat. The oropharynx is the mouth-to-throat location. Nares are the openings that enter the nose. The laryngopharynx is the area from the back of the throat to the deeper part of the throat.
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