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Health Assessment > Thorax and Lungs (Chapter 19) > Flashcards

Thorax and Lungs (Chapter 19) Flashcards

1
Q

where is the suprasternal notch located

A

very top of sternum, in-between clavical

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2
Q

what does the manubriosternal angle line up with

A

2nd rib

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3
Q

what is the manubriosternal angle also called

A

angle of Louis

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4
Q

where is the first rib located under

A

clavical

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5
Q

where is the intercostal space located for 2nd rib
A. below the rib
B. Above the rb

A

below the rib

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6
Q

what is the costal angle an angle of

A

starting at the xiphoid process the angle of the ribs coming up to connect

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7
Q

if you ask a patient to hunch their back what is the prominace at the bottom of the neck

A

C7

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8
Q

midsternal line

A

down the middle anterior

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9
Q

midclavicular line

A

middle clavicle anterior

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10
Q

scapular line

A

line of the scapula posterior

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11
Q

vertebral line

A

line down spine posterior

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12
Q

anterior axillary line

A

connection between anterior arm and chest

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13
Q

midline axillary line

A

middle laterally

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14
Q

posterior axillary line

A

connection between posterior deltoid and back

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15
Q

where is the apex of the lung located

A

above the clavical

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16
Q

what lung has more lobes

A

right

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17
Q

how many lobes does the left lung have

A

2 lobes

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18
Q

what lobe dominates the posterior region

A

LOWER LOBE

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19
Q

if you know someone has lower lobe pneumonia where should you listen

A

back

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20
Q

if you notice someone is using accessory muscles while breathing

A

they are having trouble breathing and normally in respiratory distress

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21
Q

2 types of cough

A

productive and non productive

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22
Q

what is coughing up blood called

A

hemoptysis

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23
Q

what could hemoptysis mean

A

lung cancer

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24
Q

pulmonary edema will look like what

A

pink frothy/pink tinge

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25
Q

if you notice someone is coughing up pink frothy spit what should you do

A

call doctor or RT immediately

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26
Q

what could pink frothy spit lead to

A

respiratory arrest

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27
Q

what color spit would someone with TB have

A

rust color

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28
Q

what is normal cough

A

clear/white

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29
Q

bacterial/vital infection cough will look like what

A

green/yellow

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30
Q

if someone has bronchitis what would you expect their cough to look like

A

green/yellow

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31
Q

shortness of breath is a concern at what time

A

rest

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32
Q

if you notice someone is complaining of chest pain what should you ask them

A

‘take a deep breath and does it get worse or stay the same’

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33
Q

if someone is having chest pain and they take a deep breath and they say it stays the same what might the cause be

A

heart, MI

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34
Q

if someone is having chest pain and they take a deep breath and they say it gets worse what might be the cause

A

lungs

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35
Q

what are some self care behaviors to prevent lung issues

A

exercise, Xray, testing, COVID, TB, vaccines

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36
Q

orthopnea

A

difficultly breathing in supine position

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37
Q

what might you think if someone states “I have had to sleep in the recliner for the past 4 nights”

A

orthopnea

38
Q

what might you think if someone states “I have had to sleep with 4 pillows instead of one recently”

A

orthopnea

39
Q

what are someone diseased patients that might have accessory muscle use when breathing

A

ARDS
asthma
respiratory infection
chronic bronchitis
COPD
pneumonia
emphysema
pulmonary edema
pulmonary embolism

40
Q

what is anteroposterior diameter

A

the distance from the front to the back looking from the side

41
Q

what is transverse diameter

A

looking straight at the anterior of the individual
true width of a patient

42
Q

what is the normal ratio for anteroposterior/transverse diameter

A

1:2

43
Q

what two patients might have an anteroposterior/transverse diameter of 1:1

A

obese and COPD patients

44
Q

COPD patients might have what kind of chest

A

barrel

45
Q

if you have someone in respiratory distress what position would you expect them to be in

A

tripod postion

46
Q

where would you see a change in skin color

A

lips

47
Q

anteroposterior should be half of

A

transverse

48
Q

where do you place your thumbs during symmetric expansion

A

9th rib

49
Q

what is the normal expected finding for symmetric expansion

A

symmetric bilaterally

50
Q

who might not have symmetric bilaterally symmetric expansion

A

collapsed lung (atelectasis)
penumonia
lobotomy
pnuemothorax

51
Q

what do we have someone say when doing tactile fermitus

A

a two syllable word (99)

52
Q

what does tactile fremitus assess

A

vibration of larynx through bronchi

53
Q

who might have not equal bilaterally tactile fremitus

A

lung disease
pneumonia

54
Q

who might have decreased tactile fremitus

A

asthma
pleural effusion
atelectasis

55
Q

what is the predmoninate note over lung fields

A

resonance

56
Q

where is the apex of the lungs

A

over clavicle

57
Q

what are the 3 breath sounds

A

bronchial
bronchovesicular
vesicular

58
Q

what are the main sounds you will hear in the airways

A

vesicular

59
Q

what are the sounds of the peripheral fields

A

vesicular

60
Q

are crackles high or low pitch

A

high

61
Q

what is the cause of crackles

A

inhaled air colliding with deflated air way

62
Q

when are crackles heard

A

insipiration
expiration
both

63
Q

wheeze is caused by

A

consriction of airway

64
Q

what part of stethoscope is used to listen to breath sounds

A

diagram

65
Q

why is level of consciousness important

A

oxygen delivery

66
Q

what are accessory muscles a cue for

A

respiratory disress

67
Q

where are vesicular sounds heard

A

over lung fields

68
Q

where are bronchovesicular sounds heard

A

in the middle between lungs

69
Q

what side are bronchial sounds only heard on

A

anterior

70
Q

where are bronchial sounds heard at

A

over the neck

71
Q

what are bronchial sounds also called

A

tracheal

72
Q

what patients have barrel chest

A

COPD

73
Q

scoliosis

A

S shape, uneven shoulders

74
Q

Kyphosis

A

posterior curve
humpback

75
Q

who might have kyphosis

A

COPD and emphysema

76
Q

COPD and emphysema patients do what kind of breathing

A

pursed lip

77
Q

tachypnea

A

fast

78
Q

Bradypnea

A

slow

79
Q

cheyne stokes and biots are associated with

A

dying patient

80
Q

stridor is associated with what

A

anaphylactic reaction

81
Q

is stridor a late or early response

A

late

82
Q

where should you listen for stridor

A

over trachea

83
Q

tactile fremitus findings would be increased when
A. the patient has a mild case of pneumonia
B. the patient has an advanced case of pneumonia
C. the patient has a plural effusion
D. the patient has a blocked bronchus

A

B. the patient has an advanced case of pneumonia

84
Q

which of the following is a true statement regarding the findings related to percussion
A. percussion us a useful technique for identifying small lesions in lung tissue
B. Percussion is helpful only in identifying surface alterations of lung tissue
C. Percussion notes are not influenced by the overlying chest muscle and fat tissue
D. a dull not elicited with percussion is the expected finding

A

B. Percussion is helpful only in identifying surface alterations of lung tissue

85
Q

which of the following correctly expressed the relationship to the lobes of the lungs and their anatomic position
A. upper lobes- lateral chest
B. upper lobes-posterior chest
C. lower lobes-posterior chest
D. lower lobes-anterior chest

A

C. lower lobes-posterior chest

86
Q

bronchial sounds

A

high pitch
loud
inspiration < expiration
harsh, hollow tubular
over trachea and larynx

87
Q

bronchovesicular

A

moderate pitch
moderate amplitude
inspiration = expiration
heard over major bronchi
between scapula and upper sternum

88
Q

vesicular

A

low pitch
soft
inspiration > expiration
rustling wind sound
main peripheral fields

89
Q

stridor pitch

A

high pitch

90
Q

stridor inspiratory or expiratory

A

inspiratory

Health Assessment (20 decks)

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