GUARANTEENED ANSWERS ALREADY GRADED A+ PASS
Signs - ANSWER- Things you can see or measure
symptoms - ANSWER- Subjective information (The patient must tell you)
Pack years - ANSWER- Packs per day multiplied by the number of years.
Advanced directives are? - ANSWER- documents that provide instructions incase the patient is unable
to. These instructions should be notarized and copies given to the family and physician.
If a patient has a DNI order you can still? - ANSWER- Provide non invasive ventilation ( BiPAP)
A durable power of attorney allows? - ANSWER- A person to make decisions for the patient.
What is normal urine output? - ANSWER- 40mL per hour or 1 Liter per day.
Where does sensible water loss occur? - ANSWER- Through the urine or vomiting, Diarrhea.
Where does insensible water loss occur? - ANSWER- Through the skin or exhalation.
What is normal Central venous pressure? - ANSWER- 2 to 6 mmHg
What should you recommend for patients with an elevated CVP? - ANSWER- Diuretics
What should you recommend for a patient with a low CVP? - ANSWER- Fluids.
The abbreviation ADL stands for? - ANSWER- Activities of daily living.
,What is Orthopnea? - ANSWER- Difficulty breathing while laying flat. Often seen in CHF patients.
What is general malaise? - ANSWER- A generalized run down feeling, nauseas, weak, fatigued,
headache. Think electrolyte imbalance.
What does Dysphagia mean? - ANSWER- Difficulty swallowing.
Why does peripheral edema most commonly occur? - ANSWER- edema is most likely caused by CHF or
renal failure.
What is Acites? - ANSWER- Acites is fluid in the abdomen. Typically caused by liver failure.
What causes clubbing of the fingers? - ANSWER- Chronic hypoxemia.
How fast should color return to a finger during a capillary refill test? - ANSWER- Blood should return in
less than 3 seconds.
What is Diaphoresis? - ANSWER- A state of profuse sweating.
What is Jaundice? - ANSWER- A yellowish appearance of the skin caused by increased bilirubin in the
blood and tissue.
What is Erythema? - ANSWER- Redness of the skin due from capillary congestion, inflammation, or
infection.
Cyanosis is caused by? - ANSWER- Reduced oxyhemoglobin.
How much oxyhemoglobin loss is required to cause cyanosis? - ANSWER- 5 Grams.
,Barrel chest is caused by? - ANSWER- Air trapping in the lungs for long periods of time.
Cheyne stokes respirations - ANSWER- gradually increasing then decreasing rate and depth with periods
of apnea.
Biot's respirations - ANSWER- Increased rate and depth with irregular periods of apnea. Each breath has
the same depth.
Kussmauls respirations - ANSWER- Fast and Deep
The normal muscles of ventilation are? - ANSWER- The Diaphragm and external intercostals.
Retractions and nasal flaring mean? - ANSWER- An obstructed airway.
What is macroglossia? - ANSWER- an enlarged tongue.
What is the most common cause of tachycardia? - ANSWER- Hypoxemia.
How much change in heart rate signifies an adverse reaction. - ANSWER- A change of 20bpm indicates
an adverse reaction.
What is pulsus paradoxus? - ANSWER- A pulse or blood pressure that varies during respiration.
What is tactile fremitus? - ANSWER- Vibrations that can be felt on the chest wall. Such as rhonchi,
pleural rubbing, vocal.
What is crepitus? - ANSWER- Bubbles of air under the skin that can be palpated (Subcutaneous
emphysema)
A resonant chest percussion is ? - ANSWER- Normal sound
, A flat or dull sound during chest percussion indicates? - ANSWER- Fluid or solid.
A tympanic or hyperresonant sound during chest percussion indicates? - ANSWER- Air in the pleural
space.
Vesicular breath sounds are? - ANSWER- Normal breath sounds
Adventitious breath sounds are? - ANSWER- Abnormal breath sounds.
If you hear a murmur you should recommend? - ANSWER- An echocardiogram
Hypertension indicates? - ANSWER- Hypoxemia.
Hypotension indicates? - ANSWER- Hypovolemia, CHF
In a normal XRAY the right hemidiaphragm should be? - ANSWER- Slightly higher than the left.
Over exposed xrays will look? - ANSWER- Dark
Underxposed xrays will look? - ANSWER- White.
What is a lateral decubitus xray? - ANSWER- Having a patient lay on their side for the xray. Helps
evaluate fluid or pleural effusions.
An ET tube should be positioned how many centimeters above the carina? - ANSWER- 2 to 6 centimeters
above the carina. Or at the level of the aortic arch or notch.
A lateral neck xray will help determine? - ANSWER- Croup or Epiglottitis.