Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing - 115 > Assessment of the Thorax and Lungs - Unit 2 > Flashcards

Assessment of the Thorax and Lungs - Unit 2 Flashcards

1
Q

Respiratory History - what does this include?

A

History of Upper Respiratory Infections, Asthma, COPD, Pneumonia, TB, Dyspnea, Smoking, Weight Loss, activity restrictions, environmental exposure to toxins, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How should we position patients for respiratory assessments?

A

The upright position - the recumbent position, tho, if too ill!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Respiratory Approach - what do we do? What do compare? What direction do we move? Where do we begin?

A

We inspect, palpate, percuss, and auscultate.
We compare one side with another.
We work from above-down.
We begin with the posterior chest.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

COPD - Changes are fast. T/F?

A

False! It’s slow changing!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is included under the COPD umbrella?

A

Chronic Bronchitis, Emphysema, Asthma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is emphysema?

A

Abnormal destruction of lung tissue where air gets trapped.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What happens to the bronchioles during with asthma?

A

Constriction of the bronchioles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Control of Respirations - normal stimulus is an increase in ___ ___ or ___.

A

Normal stimulus is an increase in carbon dioxide or hypercapnia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A decrease in oxygen (hypoxemia) also stimulates respirations but not as effectively. T/F?

A

True!!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Atelectasis - what is it?

A

Incomplete expansion of the lung (alveoli collapse) caused by tumors, pneumoniae, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hypostatic Pneumonia - pneumonia from…

A

not moving around. Make sure to move patients!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

TCDB - what does it mean?

A

Turn, Cough, Deep Breath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pleural Effusion - what is it?

A

Fluid buildup between lining of the lung and lung tissue.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Neumothorax - what is it?

A

Collapsed lung/extra air in lung.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

TB - causes cavitation (like little holes) in the lung. T/F?

A

True!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the normal shape of the thoracic cage?

A

Symmetric chest, oval. The angle is 1:2. The costal angle is less than 90 degrees.

17
Q

What is barrel chest?

A

When the chest is big!

18
Q

What is “pectus excavatum” ?

A

The chest dips - like the sternum is deep in!

19
Q

What is “pectus cariatum”?

A

This is when the sternum is protruding out!

20
Q

What are the 4 types of retractions?

A

Intercostal, Substernal, Suprasternal, Supraclavicular

21
Q

What is scoliosis?

A

The spine is like an s!

22
Q

What is kyphosis?

A

Think of mam - it’s the hunchback!

23
Q

What is lordosis?

A

The spine is bent back!

24
Q

What can obstruct the bronchial tree?

A

Mucous plug/foreign body.

25
Q

What can obstruct sound transmission?

A

Fluid (pleural effusion), Air (pneumothorax)

26
Q

Rales/Crackles - inspiration or expiration?

A

Inspiration!

27
Q

Alveolar Rales - what are they?

A

Fine crackles, popping sound.

28
Q

Rales/Crackles - sound produced by air entering a space that contains…

A

secretions (or blocked by them). may not be (usually not) cleared by coughing.

29
Q

Rhonchi/Gurgles - inspiration or expiration?

A

Expiration!

30
Q

Rhonchi/Gurgles - info on them

A

Continuous, but more pronounced during expiration. They are rumbling/low pitched, coarse, gurgling.

31
Q

Rhonchi/Gurgles - characteristically cleared by ___.

A

Coughing.

32
Q

Wheezes - inspiration or expiration?

A

BOTH!

33
Q

Wheezes - high or low pitched, squeaky, musical sounds. T/F?

A

True!

34
Q

Friction Rub - what is it?

A

A loud dry, girating sound.

35
Q

Friction Rub - not altered by coughing. T/F?

A

True!

36
Q

Pulse Oximetry - determines what? What is normal?

A

Determines the percentage of hemoglobin saturated by oxygen.
Normal is above 95%, but the goal is to keep it above 90%!

Nursing - 115 (35 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions