NRSG 2220 Health Assessment Exam 3
Questions with Verified Correct Answers
Wheezing
- High pitched, continous sound
- heard upon either expiration or inspiration
- characteristics: musical, squeaking
- caused: air passing through narrow pathways
- asthma, COPD ("chronic wheeze chronic disease")
stridor
- A high pitched sound
- heard upon either expiration or inspiration
- characteristics: crowing
- caused: upper airway obstruction = swelling/blockage (larynx/trachea)
- croup (swelling of airways in younger children)
crackles
- high pitched, discontinous sound
- characteristics: popping
- usually heard upon inspiration
- DOSEN'T clear with coughing
- caused by opening of fluid-filled small airways leading to inflammation
- pneumonia, congestive heart failure
Rhonchi
,- low pitch, continuous sound
- characteristics: snoring sound
- heard upon inspiration or expiration
- CLEARS with cough
- caused: air passing through secretions in large bronchiole airways
Factor that INCREASES basal metabolic rate
- infection
- environmental factprs (extreme temps)
- pregnancy
- muscle mass
Factor that DECREASES basal metabolic rate
- sleep
- aging
food high in fat soluable vitamins A, D, E, K
Vitamin A - Yams (orange foods)
Vitamin D - Fish like Salmon, and shrimp
Vitamin E - Nuts (Peanuts)
Vitamin K - Spinach
number of ounces necessary for proper fluid intake
80 oz (10 8oz water bottles)
yellow tint of skin appearent via inspection
jaundice
, blue tint appearent on inspection
cyanosis
Nasal cannula
A device that delivers low concentrations of oxygen through two prongs that rest in the
patient's nostrils.
Flow rate: 1-6 L/min
Face Mask
A clear plastic mask used for oxygen administration that covers the mouth and nose (good for
mouth breathers)
Flow rate: 5-10 L/min
Face tent
a soft, oxygen-delivery mask that fits under the patient's chin, loosely covers the mouth and
nose, and is held in place by an adjustable elastic strap (used to humidify lungs; best for pts
w/ stridor and wheezing
Flow rate: 10-15 L/min
Venturi Mask
an oxygen-delivery apparatus consisting of a mask with holes on each side that allow exhaled
air to escape and color-coded entrainment ports that are adjustable to allow regulation of the
concentration of oxygen delivered, providing the MOST precise conc. of oxygen (Must be
carefully monitored)
Questions with Verified Correct Answers
Wheezing
- High pitched, continous sound
- heard upon either expiration or inspiration
- characteristics: musical, squeaking
- caused: air passing through narrow pathways
- asthma, COPD ("chronic wheeze chronic disease")
stridor
- A high pitched sound
- heard upon either expiration or inspiration
- characteristics: crowing
- caused: upper airway obstruction = swelling/blockage (larynx/trachea)
- croup (swelling of airways in younger children)
crackles
- high pitched, discontinous sound
- characteristics: popping
- usually heard upon inspiration
- DOSEN'T clear with coughing
- caused by opening of fluid-filled small airways leading to inflammation
- pneumonia, congestive heart failure
Rhonchi
,- low pitch, continuous sound
- characteristics: snoring sound
- heard upon inspiration or expiration
- CLEARS with cough
- caused: air passing through secretions in large bronchiole airways
Factor that INCREASES basal metabolic rate
- infection
- environmental factprs (extreme temps)
- pregnancy
- muscle mass
Factor that DECREASES basal metabolic rate
- sleep
- aging
food high in fat soluable vitamins A, D, E, K
Vitamin A - Yams (orange foods)
Vitamin D - Fish like Salmon, and shrimp
Vitamin E - Nuts (Peanuts)
Vitamin K - Spinach
number of ounces necessary for proper fluid intake
80 oz (10 8oz water bottles)
yellow tint of skin appearent via inspection
jaundice
, blue tint appearent on inspection
cyanosis
Nasal cannula
A device that delivers low concentrations of oxygen through two prongs that rest in the
patient's nostrils.
Flow rate: 1-6 L/min
Face Mask
A clear plastic mask used for oxygen administration that covers the mouth and nose (good for
mouth breathers)
Flow rate: 5-10 L/min
Face tent
a soft, oxygen-delivery mask that fits under the patient's chin, loosely covers the mouth and
nose, and is held in place by an adjustable elastic strap (used to humidify lungs; best for pts
w/ stridor and wheezing
Flow rate: 10-15 L/min
Venturi Mask
an oxygen-delivery apparatus consisting of a mask with holes on each side that allow exhaled
air to escape and color-coded entrainment ports that are adjustable to allow regulation of the
concentration of oxygen delivered, providing the MOST precise conc. of oxygen (Must be
carefully monitored)
