Mod-4 Feb-01 - Pulmonary

Question 1

Inspect, Palpate - 3

Answer 1

Inspect chest, shape, respiratory movement
Inspect for deformities, abnormal inspiratory retractions, impairment of movement, anterior and posterior
Palpate ribs, trunk for tenderness and deformities

Question 2

Percuss, auscultate - 2

Answer 2

Anterior lung fields - trachea, above clavicle, pattern down

Posterior and lateral lung fields - along spine, pattern out after scapula, sides especially right side

Question 3

Chest expansion

Answer 3

Two handed on back, push skin together, see hands come apart

Question 4

Charting examples - 3

Answer 4

No labored breathing noted
Chest symmetrical with no abnormalities noted on palpation or percussion
Lungs clear to auscultation bilaterally

Question 5

Pulmonary focused interview questions - 9

Answer 5

History of lung disease
Chest pain with breathing
Wheezing
Difficulty breathing anytime, including lying down, exercising
Shortness of breath
Respiratory disease, infection
Cough, mucous, wheezing, pain, sputum, blood, pollution exposure
Smoking history
Immunizations

Question 6

Pulmonary health promotions - 4

Answer 6

TB test if at risk
Flu vaccine
Smoking
Second hand smoke