Author Question: When assessing the respiratory system of a 4-year-old child, which of these findings would the nurse ... (Read 25 times)

crazycityslicker · **on:** Jun 25, 2018

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 · **Reply #1 on:** Jun 25, 2018

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.