Week 4 (quiz 3)-physical assessment-
WCU
What are some objective findings you can collect from a pt with emphysema? -
✔️✔️barrel chest, and decreased chest expansion
How are the breath sounds on a pt with emphysema? - ✔️✔️diminished
What is a unique finding of the CO2 in pt with emphysema? - ✔️✔️hypercarbia
(increased blood concentration of CO2)
What is an infection that causes fluid, bacteria, and cellular debris to fill the alveoli? -
✔️✔️lobar pnumonia
What are some objective findings you can gather in a pt with lobar pnumonia? -
✔️✔️increased RR
fever
decreased O2 sat
What would the auscultation sound like on a pt with lobar pnumonia? - ✔️✔️bronchial
breath sounds and crackles
Why is a productive cough associated with chronic bronchitis? - ✔️✔️due to the
chronic inflammation - leaky mucus =blocked air ways
What is emphysema? - ✔️✔️chromic inflammation that leads to decreased elasticity of
lungs
Does emphysema cause hyperinflation due to air trapped in the lungs? - ✔️✔️yes
What are some things the pt might express to you that have emphysema? - ✔️✔️SOB
on exertion, air hunger
Would the percussion be dull or flat in a pt with lobar pneumonia? - ✔️✔️Dull
What is a fluid accumulation in the plural space? - ✔️✔️pleural effusion
What may the pt say to the nurse on assumption of the pt having plural effusion? -
✔️✔️"I have sharp, chest pain that stays in the same spot"
, How would the breath sounds be in a pt with plural effusion? - ✔️✔️diminished or
absent on affected area
How might the fremitus be in a pt with plural effusion? - ✔️✔️decreased or absent
(tactile)
what is pneumothorax? - ✔️✔️air that moves into the lungs cause a partial or complete
collapse of lung
How can a pneumothorax form? - ✔️✔️traumatic, tension, or spontaneous
What may the pt say they are feeling with pneumothorax? - ✔️✔️Im having sharp chest
pain on inspiration
What does the percussion sound like in the affected area of pneumothorax? -
✔️✔️Hyper resonance
What are the breath sounds going to sound like in pneumothorax? - ✔️✔️absent or
diminished
What will the unaffected side of pneumothorax experience? - ✔️✔️tracheal deviation
Does pulmonary congestion occur in left sided heart failure? - ✔️✔️yes
On auscultation with a pt with left sided heart failure might we hear? - ✔️✔️wheezes or
crackles in lung base
What would the skin color of the pt with left sided heart failure have? - ✔️✔️pallor
What are 2 expected findings in a pt with left sided heart failure? - ✔️✔️-decreased
chest wall expansion on affected side
-tracheal deviation to unaffected side
What is the respiratory fungal infection that occurs in dry areas? - ✔️✔️Valley fever
What pt are at risk of getting valley fever? - ✔️✔️immunosuppressed, HIV, organ
transplant
What another name for valley fever - ✔️✔️coccidioidomycosis
What is a subjective finding of valley fever? - ✔️✔️headache, joint pain
what are objective findings on a pt with valley fever? - ✔️✔️spotty red rash, dry cough
WCU
What are some objective findings you can collect from a pt with emphysema? -
✔️✔️barrel chest, and decreased chest expansion
How are the breath sounds on a pt with emphysema? - ✔️✔️diminished
What is a unique finding of the CO2 in pt with emphysema? - ✔️✔️hypercarbia
(increased blood concentration of CO2)
What is an infection that causes fluid, bacteria, and cellular debris to fill the alveoli? -
✔️✔️lobar pnumonia
What are some objective findings you can gather in a pt with lobar pnumonia? -
✔️✔️increased RR
fever
decreased O2 sat
What would the auscultation sound like on a pt with lobar pnumonia? - ✔️✔️bronchial
breath sounds and crackles
Why is a productive cough associated with chronic bronchitis? - ✔️✔️due to the
chronic inflammation - leaky mucus =blocked air ways
What is emphysema? - ✔️✔️chromic inflammation that leads to decreased elasticity of
lungs
Does emphysema cause hyperinflation due to air trapped in the lungs? - ✔️✔️yes
What are some things the pt might express to you that have emphysema? - ✔️✔️SOB
on exertion, air hunger
Would the percussion be dull or flat in a pt with lobar pneumonia? - ✔️✔️Dull
What is a fluid accumulation in the plural space? - ✔️✔️pleural effusion
What may the pt say to the nurse on assumption of the pt having plural effusion? -
✔️✔️"I have sharp, chest pain that stays in the same spot"
, How would the breath sounds be in a pt with plural effusion? - ✔️✔️diminished or
absent on affected area
How might the fremitus be in a pt with plural effusion? - ✔️✔️decreased or absent
(tactile)
what is pneumothorax? - ✔️✔️air that moves into the lungs cause a partial or complete
collapse of lung
How can a pneumothorax form? - ✔️✔️traumatic, tension, or spontaneous
What may the pt say they are feeling with pneumothorax? - ✔️✔️Im having sharp chest
pain on inspiration
What does the percussion sound like in the affected area of pneumothorax? -
✔️✔️Hyper resonance
What are the breath sounds going to sound like in pneumothorax? - ✔️✔️absent or
diminished
What will the unaffected side of pneumothorax experience? - ✔️✔️tracheal deviation
Does pulmonary congestion occur in left sided heart failure? - ✔️✔️yes
On auscultation with a pt with left sided heart failure might we hear? - ✔️✔️wheezes or
crackles in lung base
What would the skin color of the pt with left sided heart failure have? - ✔️✔️pallor
What are 2 expected findings in a pt with left sided heart failure? - ✔️✔️-decreased
chest wall expansion on affected side
-tracheal deviation to unaffected side
What is the respiratory fungal infection that occurs in dry areas? - ✔️✔️Valley fever
What pt are at risk of getting valley fever? - ✔️✔️immunosuppressed, HIV, organ
transplant
What another name for valley fever - ✔️✔️coccidioidomycosis
What is a subjective finding of valley fever? - ✔️✔️headache, joint pain
what are objective findings on a pt with valley fever? - ✔️✔️spotty red rash, dry cough
