subjective data

Question 1

often seen with common colds, viral infection or bronchitis

Answer 1

white or yellow mucoid sputum

Question 2

often associated with bacterial infections

Answer 2

yellow or green sputum

Question 3

indicates blood in the sputum

Answer 3

brown or black sputum

Question 4

brown or black sputum

Answer 4

hemoptysis

Question 5

associated with tuberculosis or pneumococcal penumonia

Answer 5

rust colored sputum

Question 6

may be indicative of pulmonary edema

Answer 6

pink, frothy sputum

Question 7

indicates narrowing of the airways due to spasm or obstruction

Answer 7

wheezing

Question 8

another irritant that can seriously affect a person’s respiratory health

Answer 8

second-hands smoke

Question 9

seen with labored respirations (especially in small children) and is indicative of hypoxia

Answer 9

nasal flaring

Question 10

normal angle between the nail base and the skin

Answer 10

160 degree

Question 11

pale or cyanotic nails may indicate

Answer 11

hypoxia

Question 12

early clubbing

Answer 12

180 degree

Question 13

late clubbing

Answer 13

greater than 180 degree

Question 14

spinous process that deviates laterally in the thoracic area may indicate

Answer 14

scoliosis

Question 15

the ratio of anteroposterior to transverese diameter is

Answer 15

1:2

Question 16

an increased curve in the thoracic spine common in olfer clients

Answer 16

kyphosis

Question 17

clients lean forward and use arms to support weight and lift chest to increase breathing capacity , referred to as often seen in COPD

Answer 17

tripod position

Question 18

pain over the intercostal spaces may be from

Answer 18

inflamed pleurae

Question 19

pain over the ribs, especially at the costal chondral junctions is a symptoms of

Answer 19

fractured ribs

Question 20

amos called subcutaneous emphysema, is a crackling sensation (like bone or hairs rubbing against each other) that occurs when air passes through fluid or exudate

Answer 20

crepitus

Question 21

vibrations of air in the bronchial tubes transmitted to the chest wall

Answer 21

fremitus

Question 22

is symmetric and easily identified in the upper regions of the lungs

Answer 22

fremitus

Question 23

usually the result of consolidation +which increases fremitus) or bronchial obstruction, air trapping in emphysema, pleural effusion, or pneumothorax (which all decrease fremitus)

Answer 23

unequal fremitus

Question 24

unequal chest expansion can occur with

Answer 24

atelectasis

Question 25

collapse of incomplete expansion

Answer 25

atelectasis

Question 26

decreased chest excursion at the base of the lungs is characteristics of COPD this is due to decreased

Answer 26

diaphragmatic function

Question 27

percussion tone elicited during normal lung tissue

Answer 27

resonance

Question 28

elicits flat tones over the scapula

Answer 28

percussion

Question 29

elicited in cases of trapped air such as in emphysema and pneumothorax

Answer 29

hyperresonance

Question 30

excursion should be equal bilaterally and messure ____ in adults

Answer 30

3-5 cm

Question 31

present when fluid or solid tissue replaces air in the lungs or occupies the pleural space

Answer 31

dullness

Question 32

three types of normal breath sounds

Answer 32

bronchial, bronchovesicular and vesicular

Question 33

are popping or crackling sounds heard on inspiration that occur in association with conditions that cause fluid to accumulate within the alveolar and interstitial spaces, such as heart failure or pneumonia.

Answer 33

rales or crackles

Question 34

low-pitched wheezes or snore-like sounds that can be heard with a stethoscope. Their presence means an obstruction or an increased amount of secretions is in the airways.

Answer 34

rhonchi or whezzes

Question 35

anteroposterior equals traverses diameter, resulting in a

Answer 35

barrel chest