Author Question: When a patient has a flail chest, what happens during the ventilatory cycle? a. The I:E ratio ... (Read 25 times)

K@ · **on:** Jul 16, 2018

When a patient has a flail chest, what happens during the ventilatory cycle?

a. The I:E ratio becomes inverse.
b. Air leaks out through the flail area.
c. Air leaks in through the flail area.
d. Air is shunted from one lung to the other.

Question 2

All of the following chest assessment findings may be seen in a patient with cystic fibrosis EXCEPT:

a. decreased tactile and vocal fremitus.
b. dull percussion note.
c. diminished breath sounds.
d. decreased heart sounds.

angrybirds13579 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

D
Because of the instability of the flail area, the ribs and lung tissue will move in the opposite direction than normal during a breath. This can cause air to be shunted from one lung to the other during the ventilatory cycle.

Answer to Question 2

B
Due to the airway obstruction and retained secretions, the following chest assessment findings would be expected: decreased or increased tactile and vocal fremitus, hyperresonant percussion note, diminished breath sounds, diminished heart sounds, and bronchial breath sounds (over atelectasis). A hyperresonant percussion note would be expected with the hyperinflation of alveoli, not a dull percussion note.