Rangi Shand Flashcards
Your clinical experience at a family doctors practice starts at 8 a.m. and already you notice 17-year-old Rangi is being brought up the path by his anxious-looking father, Wiremu, and distressed mother, Hine. Rangi tells you he is normally active and healthy but for the last three days, he has had a clear nasal discharge with a slight intermittent productive cough. Rangi was awake last night with frequent coughing and during the night started wheezing.
When assessing Rangi which part of the body would you assess for the presence of central cyanosis?
A. Oral mucosa.
B. Palms.
C. Sclera.
D. Nail beds.
A. Oral mucosa.
Which of the following processes is NOT required in order for effective respiration to occur?
A. Ventilation.
B. Obstruction.
C. Perfusion.
D. Diffusion.
B. Obstruction.
Which of the following is a warning sign of acute respiratory distress?
A. A blue tinge to the mouth and lips.
B. A respiratory rate of 14 breaths per minute.
C. The patient telling you in long sentences that they are short of breath.
D. An oxygen saturation recording of 93% while the patient is breathing normal air.
A. A blue tinge to the mouth and lips.
Which of the following would be the most important for you to remember when auscultating Rangi’s posterior chest?
A. Listen at each site for at least one complete respiratory cycle.
B. Have the patient breathe deep and fast through the mouth.
C. Be alert to the patient’s comfort and offer rest periods.
D. Ascultate the base at the level of the sixth rib.
C. Be alert to the patient’s comfort and offer rest periods.
When auscultating the apices of the lungs, where would you place your stethoscope?
A. At the level of the diaphragm.
B. Near the level of the eighth rib.
C. Slightly above the clavicle.
D. At about the level of the tenth rib.
C. Slightly above the clavicle.
Which of the following describes a wheeze?
A. Loud bubbly sounds heard during inspiration.
B. High-pitched, musical sounds heard primarily during expiration.
C. Moist sounds, not cleared by coughing.
D. High-pitched fine, short crackling noises heard during the end of expiration.
B. High-pitched, musical sounds heard primarily during expiration.
