_____ based on assessments, life threatening is #1 - patient's #1
complaint should be one of your highest priorities Ans✓✓✓ Prioritize
______ of assessments depends on patient needs, setting can be ICU,
long term, post treatment, etc. Ans✓✓✓ Frequency
______ of info gathered depends on content of care, patient need,
expertise of nurse Ans✓✓✓ Amount
Abnormal Respiratory Rate Ans✓✓✓ bradypnea: <12
tachypnea: >20
Accessory Muscles Ans✓✓✓ acute airway obstruction or massive
atelectasis (collapse of lung)
Annular Lesion Ans✓✓✓ circular, begins in center and spreads to
periphery
Anteroposterior to Transverse diameter ratio Ans✓✓✓ 1:2, 1:1 if barrel
chested
Assessment Primary Components Ans✓✓✓ Health History, Physical
Assessment, Psychosocial
, Auscultation: Use ____ for low pitched Ans✓✓✓ bell
Auscultation: Use _____ for high pitched sounds Ans✓✓✓ diaphragm
Biot's respiration Ans✓✓✓ Irregular with apnea
Bradypnea Ans✓✓✓ slow breaths
Bulging Ans✓✓✓ Trapped air in forced expiration associated with
asthma and emphysema
Bulla lesion Ans✓✓✓ Vesicle or blister larger than 1 cm
ex: 2nd degree burn
Cheyne-stokes Ans✓✓✓ Irregular with apnea and deep breaths, seen in
kidney or heart faliure
Children's signs of pain Ans✓✓✓ Increased heart right, hypertension,
pallor, sweating, decrease O2 saturation
Chronic Obstructive Ans✓✓✓ Air trapping occurs so expiratory is
longer than inspiratory