When assessing the respiratory system of a 4-year-old child, ...

[crazycityslicker]

When assessing the respiratory system of a 4-year-old child, which of these findings would the nurse expect?
 
  a. Crepitus palpated at the costochondral junctions
  b. No diaphragmatic excursion as a result of a child's decreased inspiratory volume
  c. Presence of bronchovesicular breath sounds in the peripheral lung fields
  d. Irregular respiratory pattern and a respiratory rate of 40 breaths per minute at rest

Question 2

The nurse is percussing over the lungs of a patient with pneumonia. The nurse knows that percussion over an area of atelectasis in the lungs will reveal:
 
  a. Dullness.
  b. Tympany.
  c. Resonance.
  d. Hyperresonance.

[sierrahalpin]

Answer to Question 1

ANS: C
Bronchovesicular breath sounds in the peripheral lung fields of the infant and young child up to age 5 or 6 years are normal findings. Their thin chest walls with underdeveloped musculature do not dampen the sound, as do the thicker chest walls of adults; therefore, breath sounds are loud and harsh.

Answer to Question 2

ANS: A
A dull percussion note signals an abnormal density in the lungs, as with pneumonia, pleural effusion, atelectasis, or a tumor.

[crazycityslicker]

Thanks for the timely response, appreciate it

[xiaomengxian]

Excellent