NURS 190 Physical Assessment Study Guide Quiz 2.
NURS 190 Physical Assessment Study Guide Quiz 2 Circumoral Cyanosis: EARLY sign for hypoxia / respiratory distress Late Hypoxia Sign • Barrel Chest & Clubbing Tachypnea: Rapid, shallow respirations 24 Hyperventilation: Rapid, deep respirations 24 Bradypnea: slow, regular 10 Hypoventilation: Irregular, shallow 10 Cheyne Stokes Periods of deep breathing & apnea alternating, regular pattern Asthma • Wheezing, Increased RR • Bronchiole Inflammation, mucus, phlegm, bronchospasm • Anxiety, Chest pain, Accessory muscle use, low o2 Atelectasis • Collapse or Inflamed alveoli / lung • Decreased or absent breath sounds in affected lobe • Cyanosis = severe Chronic Bronchitis • Wheezing / Rhonchi • Dyspnea (SOB), Fatigue • Productive Cough, Increased RR • Accessory muscle use • Tracheobronchial tree inflamed Emphysema • SOB, Air hunger (hypoxemia, CO2 retention, air trapping) • Barrel chest, decrease in expansion • Hypercarbia, clubbing 1• Accessory muscle use • Diminished breath sounds • Obstruction of the alveoli, decreased elasticity, air trapped in lungs
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