thorax Flashcards

1
Q

(difficulty breathing)

A

dyspnea

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2
Q

may describe their dyspnea as not being
able to “breathe or take a deep breath.”

A

Clients who have chronic obstructive pulmonary disease (COPD)

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3
Q

continuous coughing

A

smokers cough

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4
Q

are wheezing, frequent cough with or without mucous, shortness of breath, and chest tightness

A

asthma

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5
Q

(difficulty breathing when lying supine)

A

orthopnea

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6
Q

(severe dyspnea that awakens the person from sleep)

A

Paroxysmal nocturnal dyspnea

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7
Q

(periods of breathing cessation during sleep)

A

sleep apnea

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8
Q

reduces the heart muscle’s ability to pump blood.

A

myocardial ischemia/ cardiac ischemia

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9
Q

a condition in which the pleura — two large, thin layers of tissue that separate your lungs from your chest wall — becomes inflamed.

A

Pleuritis also known as pleurisy

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10
Q

this color of sputum is is often seen with common colds, viral infections, or bronchitis.

A

White or mucoid sputum

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11
Q

this sputum is often associated with bacterial infections

A

yellow or green

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12
Q

this sputum is seen with more serious respiratory conditions

A

blood in the sputum

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13
Q

sputum that is associated with tuberculosis or pneumococcal pneumonia

A

Rust colored

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14
Q

may be indicative of pulmonary edema.

A

Pink, frothy sputum

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15
Q

indicates narrowing of the airways due to spasm or obstruction.

A

Wheezing

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16
Q

caused by the reproductive cells (spores) of the fungus Histoplasma capsulatum.

A

Histoplasmosis

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17
Q

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

A

nasal flaring

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18
Q

low levels of oxygen in your body tissues. It causes symptoms like confusion, restlessness, difficulty breathing, rapid heart rate, and bluish skin.

A

hypoxia

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19
Q

is a lung condition that causes shortness of breath. In people with emphysema, the air sacs in the lungs (alveoli) are damaged. ne of the diseases that comprises COPD (chronic obstructive pulmonary disease).

A

emphysema

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20
Q

may be seen with clients with CODPD or CHF as a result of polycythemia

A

ruddy to purple complexion

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21
Q

may be seen if client is cold of hypoxic

A

cyanosis

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22
Q

pale or cyanotic nails may indicate

A

hypoxia

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23
Q

Early clubbing

A

180 degree angle

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24
Q

late clubbing

A

greater than 180 degree

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25
Q

The ratio of anteroposterior to transverse diameter

A

1:2

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26
Q

Ribs appearing horizontal at
an angle greater than 45 degrees with the spinal column are frequently the result of an
increased ratio between the anteroposterior–transverse diameter

A

(barrel chest)

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27
Q

(an increased curve of the
thoracic spine)

A

kyphosis

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28
Q

client leans forward and uses arms to support weight and lift chest to increase breathing capacity, referred to as the

A

tripod position

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29
Q

Pain over the intercoastal space

A

inflamed pleurae

30
Q

pain over the ribs especially at costal chondral junctions

A

fractured ribs

31
Q

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

A

crepitus

32
Q

(vibrations of air in the bronchial tubes transmitted to the chest wall). As you move your hand to each area, ask the client to say “ninety-nine.” Assess all areas for symmetry and intensity of
vibration.

A

palpate for fremitus

33
Q

is best for assessing tactile fremitus because the area is especially sensitive to vibratory
sensation

A

ball of the hand

34
Q

what is the normal measurement of examiners thumb during chest expansion exam?

A

5-10 cm

35
Q

(collapse or incomplete
expansion) of the chest or lungs

A

atelectasis

36
Q

air in the pleural space

A

pneumothorax

37
Q

is the percussion tone elicited
over normal lung tissue

A

resonance

38
Q

tones over the scapula

A

flat tones

39
Q

is elicited in cases of trapped air such as in emphysema or
pneumothorax.

A

hyperresonance

40
Q

how do you perform diaphragmatic excursion?

A

It is performed by asking the patient to exhale and hold it. The doctor then percusses down their back in the intercostal margins t7 (bone will be dull), starting below the scapula, until sounds change from resonant to dull (lungs are resonant, solid organs should be dull). That is where the provider marks the spot.

41
Q

measurement of excursion

A

Excursion should be equal bilaterally and measure 3–5 cm in adults.
7-8 in well conditioned patients

42
Q

present when fluid or solid tissue replaces air in the lung occupies the pleural space, such as in lobar pneumonia, pleural effusion, or tumor.

A

dullness

43
Q

Three types of normal breath sounds may be auscultated

A

bronchial, bronchovesicular,
and vesicular

44
Q

(formerly called rales)

A

crackles

45
Q

formerly called rhonchi)

A

wheezes

46
Q

how do you assess bronchophony?

A

Ask the client to repeat the
phrase “ninety-nine” while you auscultate the chest wall.

47
Q

assess egophony

A

: Ask the client to repeat the letter “E” while you listen over the chest wall.

48
Q

Whispered pectoriloquy

A

Ask the client to whisper the phrase “one–two–three” while you auscultate the chest wall.

49
Q

is a markedly sunken sternum and adjacent cartilages (often referred to as funnel chest). It is a congenital malformation that seldom causes symptoms other
than self-consciousness.

A

Pectus excavatum

50
Q

is a forward protrusion of the sternum causing the adjacent ribs to slope backward (often
referred to as pigeon chest;

A

pectus carinatum

51
Q

what do you normally hear in liver?

A

dullness

52
Q

what do you hear in stomach

A

tympany

53
Q

what do you hear in the ICS

A

resonance

54
Q

high, harsh or hollow sound, loud, short during inspiration long in expiration, usually in trachea and thorax

A

bronchial

55
Q

Moderate Mixed, Same during
inspiration and expiration.Over the major bronchi—posterior:
between the scapulae; anterior:
around the upper sternum in the first and second intercostal spaces

A

Bronchovesicular

56
Q

low, breezy, soft long isnpiration, short expiration in peripheral lung fields

A

vesicular

57
Q

High-pitched, short, popping sounds heard during inspiration and not cleared with coughing; sounds are discontinuous and can be simulated by rolling
a strand of hair between
your fingers near your ear

A

fine crackles

58
Q

Low-pitched, bubbling,
moist sounds that may
persist from early inspiration to early expiration; also described as softly separating Velcro.

A

coarse crackles

59
Q

Low-pitched, dry, grating sound; sound is much like crackles, only more superficial and occurring
during both inspiration and expiration. Sound is the result of rubbing of two inflamed
pleural surfaces.

A

pleural friction rub

60
Q

High-pitched, musical sounds heard primarily during expiration but may also be heard on inspiration. Air passes through constricted passages (caused
by swelling, secretions,
or tumor).

A

wheeze (sibilant)

61
Q

Low-pitched snoring or moaning sounds heard primarily during expiration but may be heard throughout the respiratory cycle. These wheezes may clear with coughing

A

wheeze (snoring

62
Q

is a harsh, honking wheeze with severe broncholaryngospasm, such as occurs with croup

A

stridor

63
Q

12–20 breaths/min and
regular

A

normal breathing pattern

64
Q

More than 24 breaths/min and
shallow

A

tachypnea

65
Q

Less than 10 breaths/min and
regular

A

bradypnea

66
Q

increased rate and increased
depth. Usually occurs with extreme exercise, fear, or anxiety. Causes of hyperventilation include disorders of the central nervous system, an overdose of the drug salicylate, or severe anxiety

A

hyperventilation

67
Q

Rapid, deep, labored, A type of hyperventilation associated with diabetic ketoacidosis

A

kussmaul

68
Q

Decreased rate, decreased
depth, irregular pattern, Usually associated with overdose of
narcotics or anesthetics

A

hypoventilation

69
Q

Regular pattern characterized
by alternating periods of deep, rapid breathing followed by periods of apnea

A

cheyne-strokes respirations

70
Q

Irregular pattern characterized
by varying depth and rate
of respirations followed by
periods of apnea

A

biot’s respiration

71
Q

Significant disorganization
with irregular and varying
depths of respiration

A

ataxic

72
Q

Increasing difficulty in getting
breath out

A

air trapping