Module 05: Anterior and Posterior Thorax (Part 01) Flashcards
What should be the priority assessment and intervention under the respiratory system?
(1) Airway
(2) Breathing
(3) Circulation
(a) Color of lips
(b) Color of nail beds
(c) Shape of the chest
(d) Positioning
This is the problems in exhalation due to inflammation and increase of sputum production or the narrowing or blockage of air pathways that leads to hyperinflation of the lungs.
Obstructive Lung Disorder
What are the different examples of Obstructive Lung Disorder?
(1) Asthma
(2) Chronic obstructive pulmonary disease (COPD)
(3) Chronic Bronchitis
(4) Cystic Fibrosis
This is known as the problem with inhalation and lung expansion.
Restrictive Lung Disorder
What are the different examples of Restrictive Lung Disorder?
(1) Asbestos, sarcoidosis and pulmonary fibrosis
(2) Myasthenia gravis, myopathies
(3) Kyphoscoliosis
(4) Tuberculosis, pneumonia and Acute respiratory syndrome (ARDS)
When examining the posterior thorax, what are the imaginary landmarks that should be identified?
(1) Vertebral Line
(2) Left and Right Scapular Lines
How should the nurse examine the posterior thorax?
(1) Identify imaginary landmarks
(2) Inspect curvature of the spine (Kyphosis, Lordosis, and Scoliosis)
(3) Observe for symmetry drop of shoulder towards one side
(4) Inspect skin for lesion, redness, bumps, and rashes
(5) Inspect chest shape and breathing pattern
What are the abnormal findings in a COPD patient?
(1) Pursed lip breathing
(2) Tripod breathing
(3) Barrel Chest
This is the hyperinflated lung seen among patients.
Barrel Chest
The Barrel Chest is most commonly observed among patients with:
(1) COPD
(2) Emphysema
(3) Chronic Asthma
(4) Cystic fibrosis
This type of breathing is characterized to have 14 to 20 breaths per minute.
Normal respiration
This type of breathing is characterized to have more 24 breaths per minute and is known to be shallow.
Tachypnea
This type of breathing is characterized to be regular and less than 10 breaths per minute.
Bradypnea
Where can tachypnea be observed?
(1) After exercise
(2) Pneumonia
(3) Pleurisy
Where can bradypnea be observed?
(1) Drug induced (narcotics)
(2) Neurological Patients
This is characterized to be the increased rate and depth.
Hyperventilation
Hyperventilation is most commonly seen as:
(1) Extreme exercise
(2) Diabetic Ketoacidosis
(3) Drug OD (Salicylates)
(3) Severe anxiety
This is characterized to be the decreased rate and depth along with irregular patterns.
Hypoventilation
Hypoventilation is most commonly observed in patients whom:
Overmedication (narcotics or anesthesia)
This is known as the alternating periods of deep, rapid breathing followed by periods of apnea and regular pattern.
Cheyne’s - Strokes Respiration
Cheyne’s - Strokes Respiration is most commonly observed in patients whom
(1) Congestive heart failure (CHF) or Kidney Failure
(2) Increased Intercranial Pressure
(3) Drug Overdose
This is characterized as the irregular pattern with varying depths of respiration followed by periods of apnea.
Biot’s respiration
Biot’s respiration is commonly observed among patients who have:
(1) Meningitis
(2) Brain Damage
How should the nurse palpate the posterior lungs?
(1) Palpate using your palms and follow the systematic sequence
(2) Vocal fremitus: Use your ulnar side of palm as you follow the systematic sequence; note for vibration over major airways.
(3) Thoracic expansion: locate the 10th rib and place your hands on each side with thumbs align and observe the thumb movement