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Nurp 500: Health Assessment > Week 8: Respiratory > Flashcards

Week 8: Respiratory Flashcards

1
Q

What does the diaphragm do during inspiration?

A

Diaphragm contracts and flattens, descends in the chest wall, expands the abdominal wall.

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2
Q

What does the diaphragm do during expiration?

A

Diaphragm relaxes, chest wall and lungs recoil (contract).

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3
Q

Cough with cardiac happens with:

A

Left-sided heart failure

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4
Q

Acute cough time frame:

A

Less than 3 weeks

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5
Q

Duration of subacute cough:

A

3-8 weeks

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6
Q

Duration of chronic cough:

A

Greater than 8 weeks

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7
Q

Acute cough causes:

A

Viral URI, acute bronchitis, foreign body, smoking, ACE-I

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8
Q

Causes of subacute cough:

A

Post infectious, pertussis, reflux, bacterial sinusitis, asthma

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9
Q

Causes of chronic cough:

A

PND, asthma, GERD, chronic bronchitis, bronchiestasis

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10
Q

Type of mucus that is translucent, white, grey

A

Mucoid

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11
Q

Mucoid mucus is typically:

A

Viral, CF

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12
Q

Type of mucus that is yellow, green:

A

Purulent

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13
Q

Purulent mucus is typically:

A

Bacterial PNA

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14
Q

Foul smelling mucus is typically related to:

A

Lung abscess

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15
Q

Thick/tenacious mucus is related to:

A

CF

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16
Q

Hemoptysis can occur with:

A

Bronchitis, malignancy, CF

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17
Q

Normal breath sounds:

A

Vesicular, bronchovesicular, bronchial, tracheal

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18
Q

Adventitious breath sounds:

A

Crackles (rales), wheezes, rhonchi

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19
Q

Silent chest indicative of:

A

Asthma

20
Q

Blood originating from the ___ is usually darker than blood from the respiratory tract and may be mixed with food particles.

A

Stomach

21
Q

Asymmetry with chest expansion is indicative:

A

Of pleural effusion

22
Q

This technique is imprecise and detects asymmetry of the chest also detects transmitted vibrations

A

Tactile fremitus

23
Q

Normal percussion sounds for lungs:

A

Resonant

24
Q

Breath sounds are usually louder in the:

A

Lower posterior lung fields

25
Q

Breath sounds may be decreased when air flow is decreased as in: ____ or when transmission of sound is poor as in:______

A

Obstructive Lung disease prevention respiratory muscle weakness

Pleural effusion, pneumothorax, or COPD

26
Q

With this exam technique ask the patient to say “ee”. You will normally hear a muffled long E sound.

A

Egophony

27
Q

With this exam technique, ask the patient to say 99. Normally the sounds transmitted through the chest wall are muffled and in distinct. Louder voice sounds are called this:

A

Bronchophony

28
Q

An e to a change indicated egophany is present and hearing a 99 clearly indicates bronchophony is present. Both of this is seen in:

A

Lobar consolidation from pneumonia

29
Q

With this exam technique, ask the patient to whisper 99 or 1-2-3. The whispered voice is normally heard faintly and indistinctly, if at all.

A

Whispered pectoriloquy

30
Q

For a FET listen over the trachea and ask the patient to take a deep breathe in and out as quickly as possible with mouth open. If patient is over 60 and the FET is greater than 9 seconds they are four times more likely to have:

A

COPD

31
Q

What is Hoover’s sign in peds?

A

Seesaw breathing

32
Q

Prolonged inspiration in peds is indicative of:

A

Croup

33
Q

Prolonged expiration in peds is indicative of:

A

Asthma

34
Q

What does PQRST stand for:

A

Promoting, preventing, precipitating, palliative factors

Quality/quantity

Region or radiation

Severity, setting, simultaneous symptoms, similar illnesses in the past

Temporal factors

35
Q

Lower pitched, booming sound with percussion:

A

Hyperresonance (too much air)

36
Q

High pitches musical sounds with percussion:

A

Tympany (intestines)

37
Q

These breath sounds are soft, low pitched, heard throughout inspiration and no pause into expiration( inspiration longer), heard over most of both lungs.

A

Vesicular

38
Q

These breath sounds are with inspiratory and expiratory separates by silent intervals (equal).

A

Bronchovesicular

39
Q

These breath sounds are louder and higher in pitch, silence between inspiratory and expiratory sounds (expiratory longer), over manubrium.

A

Bronchial

40
Q

Normal lung sounds are ___ with percussion and ___ with auscultation.

A

Resonant

Vesicular

41
Q

Consolidation lung sounds are ___ with percussion and ___ with auscultation.

A

Dull

Bronchial

42
Q

Pneumothorax lung sounds are ___ with percussion and ___ with auscultation.

A

Hyperresonant

Diminished

43
Q

Pleural effusion lung sounds are ___ with percussion and ___ with auscultation.

A

Dull

Diminished

44
Q

Abnormal respiratory sound heard more during inspiration and characterized by discrete discontinuous sounds, each lasting just a few milliseconds.

A

Crackles (rales)

45
Q

Deeper more rumbling, more pronounced during expiration, more likely to be prolonged and continuous and less discrete than crackles.

A

Rhonchi

46
Q

Are rhonchi or crackles cleared with coughing?

A

Rhonchi

47
Q

A continuous, high pitched, musical sound (almost a whistle) heard during inspiration or expiration.

A

Wheezes

Nurp 500: Health Assessment (11 decks)

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