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    ATI NURS 190 Physical Assessment Proctored Exam

    The nurse is assessing the chest shape of a patient.Which chest configuration describes a sunken in sternum and costal cartilage?

    Explanation & Rationale

    Choice A rationaleAn elliptical chest describes the typical shape of a healthy chest with a lateral dimension greater than the anteroposterior dimension. This shape allows for normal expansion and contraction of the lungs during breathing. An elliptical chest does not indicate any deformity or abnormality in the sternum or costal cartilage.Choice B rationalePectus excavatum, also known as funnel chest, is a congenital deformity where the sternum and costal cartilage are sunken inward, creating a concave appearance of the chest. This condition can range in severity and may affect respiratory function and exercise tolerance in some individuals. Surgical correction may be considered for severe cases.Choice C rationaleA standard chest describes a chest without any deformities or abnormalities, typically with a normal elliptical shape. This term does not denote any specific condition or configuration and implies a healthy, non-deformed chest.Choice D rationaleBarrel chest is characterized by an increased anteroposterior diameter of the chest, giving it a round or barrel-like appearance. This condition is often seen in individuals with chronic obstructive pulmonary disease (COPD) or emphysema, where the lungs are chronically overinflated, causing the chest to expand and lose its normal shape.

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