While palpating respiratory expansion on a client the nurse notes movement on only one side of the chest. Which conditions are associated with this assessment finding? Select all that apply

Question

1. Atelectasis.
2. Chronic bronchitis.
3. Lobar pneumonia.
4. Pleural effusion.
5. Congestive heart failure.

Answer 1

Correct Answer: 1, 3, 4
Atelectasis is a condition in which there is an obstruction of airflow. Lung tissue may collapse from airway obstruction, such as a mucous plug, lack of surfactant, or a compressed chest wall. Atelectasis will result in decreased lung expansion on the client's affected side. Lobar pneumonia is due to an infection that causes fluid, bacteria, and cellular debris to fill the alveoli. It may result in decreased lung expansion on the client's affected side. Pleural effusion refers to fluid accumulating in the pleural space. It may result in decreased lung expansion on the client's affected side. Chronic bronchitis results in chronic inflammation of the tracheobronchial tree, which leads to increased mucous production and blocked airways. It does not result in decreased lung expansion on one side. Congestive heart failure occurs when increased pressure in the pulmonary veins causes interstitial edema around the alveoli and may cause edema of the bronchial mucosa. It does not result in decreased lung expansion on one side.