CMN 568 Exam 2- Physical Exam #1 Questions and Answers | Verified & Updated 2024

CMN 568 Exam 2- Physical Exam #1 Questions and Answers | Verified & Updated 2024 Physical examination - Answer ️️ -- Inspection - Palpation - Percussion - Auscultation Observe pattern of breathing - Answer ️️ -- RR (12-14rr/min) - Rhythm (regular with a sigh every 90 breaths or so) - Depth of breathing / tidal volume (5ml/kg) - Relative time spent inspiration and expiration (ratio 2:3) Inspect for extrapulmonary signs of pulmonary disease - Answer ️️ -Use what you find to perform more detailed exam Palpate - Answer ️️ -- Trachea at suprasternal notch - Posterior chest wall (gauge fremitus / transmission through lungs of vibrations of spoken words) - Anterior chest wall (assess cardiac impulse) Percussion - Answer ️️ -Identifies dull areas or hyperresonant areas Auscultation - Answer ️️ -Lung sounds Pulmonary Function Tests - Answer ️️ -Measures airflow rates, lung volumes, ability of lung to transfer gas across alveoli-capillary membrane What would indicate to FNP that patient needs PFT? - Answer ️️ -- Assess type/extent of lung dysfunction - Dx of causes of dyspnea and cough - Detect early evidence of lung dysfunction - Follow-up response to therapy - Pre- op assessment - Disability eval Patient presents with acute asthma exacerbation with mild resp. distress. You want to perform a PFT to see how well gas exchange is occurring. Is this correct management for the patient? - Answer ️️ -- No - PFTs are contraindicated in acute severe asthma, resp. distress, angina aggravated by testing, pneumothorax, ongoing hemoptysis, active TB How do you measure your patients PFTs to establish if they are normal or not? - Answer ️️ -- They are measured against predicted values derived from large studies of healthy subject - Vary with age, gender, height, weight, ethnicity Tachypnea - Answer ️️ -Increased resp rate and decreased TV Irregular rhythm - Answer ️️ -- Rapid, shallow breathing - Restrictive lung disease (precursor to resp failure) Kussmaul resp - Answer ️️ -- Rapid large volume breathing leads to intense stimulation of resp center - R/T metabolic acidosis Cheyne-Stokes resp - Answer ️️ -- Rhythm