11/8 Lower Respiratory Competency

Question 1

Where would one perform a needle decompression?

Answer 1

at the 2nd intercostal space superior to the third rib

followed by chest tube placement

Question 2

Where would one insert a chest tube?

Answer 2

at the anterior axillary line or mid axillary line of the 4th intercostal space superior to the fifth rib

Question 3

where would you see the lower margin of an endotracheal tube on a chest x-ray?

Answer 3

T4

Question 4

What’s the landmark for a thoracentesis?

Answer 4

7th intercostal space

Question 5

What would pursed lips be indicative of in a patient?

Answer 5

COPD, labored breathing

Question 6

What might a deviated trachea indicate?

Answer 6

pneumothorax

Question 7

Where should hands be placed to chest thoracic expansion?

Answer 7

thumbs should be placed at the level of the 10th rib

then ask pt to inhale deeply and observe thumbs

Question 8

What might cause a decreased or absent fremitus?

Answer 8

COPD
Pleural effusions
pneumothorax
Fibrosis

Question 9

What might cause increased fremitus?

Answer 9

pneumonia (increased transmission)

Question 10

What are the five types of percussion notes you may observe?

Answer 10

Flat
Dull
Resonant
Hyperresonant
Tympanic (abdominal)

Question 11

What might unilateral hyperresonance suggest?

Answer 11

large pneumothorax

or

large air-filled bulla in lung

Question 12

How should the patient be instructed to breath when auscultating?

Answer 12

deeps breaths with an open mouth