NSG 500 Quiz 2 – Correct Solutions To All Questions
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Terms in this set (227)
it is noncardiac chest pain if: constant achiness, does not radiate, worsens with
pressing on chest wall, fleeting/needle like jab that
lasts a few seconds, situated in shoulders or between
shoulder blades in the back
dullness on percussion present in pleural effusion or lobar pneumonia
tactile fremitus decreased or absent if excess air in lungs
(emphysema), pelural thickening or effusion, bronchial
obstruction
increased if presence of fluids, solid mass,
consolidation
trachea exam eviation: volume loss from fibrosis or atelactasis will
pull the trachea that direction. mau also be anterior
mediastinal tumor, inlammation
,lung percussion dull=cardiac, luver
tympany--stomach
resonant--lungs
flat--muscles and bones
lung percussion order back (10 areas), right lateral--4 areas, left lateral 4
areas, front8 areas
classification of breath sounds vesicular--low pitched, low intesity (normal healthy
tissue)
bronchovesicular--over major bronchi, moderate in
pitch and intensity
bronchial breath soudns--highest in pitch and
intensity--over trachea
bronchovesicular and bronchial breath ABNORMAL
sounds over peripheral lung tissue
breath sounds like blowing across the amphoric=stiff pulmonary caivty or tension
mouth of a bottle pneumothorax
rub sound--lungs cratchy and high pitched
types of crackles fine: high pitched discrete with end of inspiration,
doesn't clear with cough
medium: lower more in middle stage of inspiration
coarse: bubbly with inspiration, loud
rhonchi deeper rumbling more pronounced during expiration.
d/t thick secretions
vocal resonance with lung bronchophony--consolidation in lungs--even a
ausculatation whisper can be heard clearly
egophony--consolidation of lung tissue--ee turns into
"a"
,bronchial breath sounds harsh, hollow sound - best heard over trachea and
larynx
bronchovesicular breath s over bronchi, med pitch and loudness
vesicular sounds heard every where else, softest and lowest pitch
fine crackles are more often in bases of lungs
coarse crackles more often in trachea and large bronchi
rhonchi are due to airway obstruction from mass, secretions, muscular
constriction
wheezes are due to constriction, mass, secretions
stridor strained, high-pitched sound heard on inspiration
caused by obstruction in the pharynx or larynx
S1 heart sound mitral and tricuspid valve closure with ventricular
contraction
s2 initiation of diastole aortic and pulmonic valves
closing after ventricles have emptied
s3 sometimes occurs when ventricular filling is almost
complete. due to RAPID ventricular filling. low pitch,
use bell
s4 occurs with atria contraction to ensure ejection of any
remaining blood. Due to forceful atrial ejection into
distended ventricle. low pitch, use bell
, chest pain: cardiac substernal provoked by effort, emotion, eating and
relieved by rest, nitro, often accompanied by
diaphoresis and sometimes nausea
chest pain: pleural with breathing or coughing: sharp, present with
respiration, absend when holding breath
chest pain: esophageal burning, substernal, radiation to shoulder,
nocturnal/lying flat, releived with food, antacids and
sometimes nitro
chest pain: peptic: almost always infradiaphragmatic and epigastric. PM
and AM attacks relieved by food
chest pain: biliary under right scapula, prolonged, after eating, will
trigger angina
chest pain: arthritis/bursitis local tender/pain with movement
chest pain: cervical pain with movement, associated with injury
chest pain musculoskeletal with movement, twisting, bending, focal tenderness
sequence of chest assessment inspection, palpation, percussion, auscultation
what is a thrill? palpable vibration it feels like the throat of a purring
cat. the thrill signifies turbulent blood flow and directs
you to locate the origin of loud murmurs
-use your palm aspect of your four fingers
with grade 4 murmur or higher
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (227)
it is noncardiac chest pain if: constant achiness, does not radiate, worsens with
pressing on chest wall, fleeting/needle like jab that
lasts a few seconds, situated in shoulders or between
shoulder blades in the back
dullness on percussion present in pleural effusion or lobar pneumonia
tactile fremitus decreased or absent if excess air in lungs
(emphysema), pelural thickening or effusion, bronchial
obstruction
increased if presence of fluids, solid mass,
consolidation
trachea exam eviation: volume loss from fibrosis or atelactasis will
pull the trachea that direction. mau also be anterior
mediastinal tumor, inlammation
,lung percussion dull=cardiac, luver
tympany--stomach
resonant--lungs
flat--muscles and bones
lung percussion order back (10 areas), right lateral--4 areas, left lateral 4
areas, front8 areas
classification of breath sounds vesicular--low pitched, low intesity (normal healthy
tissue)
bronchovesicular--over major bronchi, moderate in
pitch and intensity
bronchial breath soudns--highest in pitch and
intensity--over trachea
bronchovesicular and bronchial breath ABNORMAL
sounds over peripheral lung tissue
breath sounds like blowing across the amphoric=stiff pulmonary caivty or tension
mouth of a bottle pneumothorax
rub sound--lungs cratchy and high pitched
types of crackles fine: high pitched discrete with end of inspiration,
doesn't clear with cough
medium: lower more in middle stage of inspiration
coarse: bubbly with inspiration, loud
rhonchi deeper rumbling more pronounced during expiration.
d/t thick secretions
vocal resonance with lung bronchophony--consolidation in lungs--even a
ausculatation whisper can be heard clearly
egophony--consolidation of lung tissue--ee turns into
"a"
,bronchial breath sounds harsh, hollow sound - best heard over trachea and
larynx
bronchovesicular breath s over bronchi, med pitch and loudness
vesicular sounds heard every where else, softest and lowest pitch
fine crackles are more often in bases of lungs
coarse crackles more often in trachea and large bronchi
rhonchi are due to airway obstruction from mass, secretions, muscular
constriction
wheezes are due to constriction, mass, secretions
stridor strained, high-pitched sound heard on inspiration
caused by obstruction in the pharynx or larynx
S1 heart sound mitral and tricuspid valve closure with ventricular
contraction
s2 initiation of diastole aortic and pulmonic valves
closing after ventricles have emptied
s3 sometimes occurs when ventricular filling is almost
complete. due to RAPID ventricular filling. low pitch,
use bell
s4 occurs with atria contraction to ensure ejection of any
remaining blood. Due to forceful atrial ejection into
distended ventricle. low pitch, use bell
, chest pain: cardiac substernal provoked by effort, emotion, eating and
relieved by rest, nitro, often accompanied by
diaphoresis and sometimes nausea
chest pain: pleural with breathing or coughing: sharp, present with
respiration, absend when holding breath
chest pain: esophageal burning, substernal, radiation to shoulder,
nocturnal/lying flat, releived with food, antacids and
sometimes nitro
chest pain: peptic: almost always infradiaphragmatic and epigastric. PM
and AM attacks relieved by food
chest pain: biliary under right scapula, prolonged, after eating, will
trigger angina
chest pain: arthritis/bursitis local tender/pain with movement
chest pain: cervical pain with movement, associated with injury
chest pain musculoskeletal with movement, twisting, bending, focal tenderness
sequence of chest assessment inspection, palpation, percussion, auscultation
what is a thrill? palpable vibration it feels like the throat of a purring
cat. the thrill signifies turbulent blood flow and directs
you to locate the origin of loud murmurs
-use your palm aspect of your four fingers
with grade 4 murmur or higher
