NURS 226 EXAM-QUESTIONS AND 100% VERIFIED
CORRECT ANSWERS!
subjective data for thorax and lungs
-cough
-shortness of breath
-chest pain with breathing
-history of respiratory infections
-smoking history
-environmental exposure
-self-care behaviors
additional history for aging adult (lungs thorax)
-have you notices any shortness of breath or fatigue with daily activities
-usual activity amount
history questions for those with chronic obstructive pulmonary disease, lung cancer, or
tuberculosis
-how are you getting along day to day
-weight change in the last 3 months
-energy level
-do you tire easy
-how does the illness affect you at home and work
,-chest pain with breathing
-chest pain after coughing or after a fall
objective data
-warm room, warm diaphragm end piece
-begin resp exam just after palpating the thyroid gland when standing behind the pt
-clean stethoscope end piece with an alcohol wipe
inspection of thoracic cage
-spinous process should appear in a straight line
-thorax is symmetric, in elliptical shape with downward sloping ribs about 45 degrees relative to
spine
-scapulae are placed symmetrically in each hemithorax
-anteroposterior diameter should be less than transverse diameter
what should the costal angle be
90 degrees or less
what should the AP ratio be
1:2
what does an AP ratio of 1:1 indicate
barrel chest: COPD, emphysema, osteoarthritis and CF
respiration
, exchange of gases: oxygen and carbon dioxide
ventilation
movement of air in and out of the lungs
symmetric expansion
place hands sideways on posterior chest wall with thumbs pointing together at T9 or T10. as the
patient takes a deep breath your thumbs should move symmetrically
what does abnormal expansion indicate
this occurs with marked atelectasis, lobar pneumonia, pleural effusion, thoracic trauma
(fractured ribs or pneumothorax)
tactile fremitus
-use palmar base or ulnar edge or palm of hands
-ask the patient to repeat "ninety-nine" or "blue moon"
-feeling for equal vibrations
decreased fremitus
occurs with obstructed bronchus, pleural effusion or thickening, pneumothorax, or emphysema
increased fremitus
occurs with compression or consolidation of lung tissue (lobar pneumonia) this is present only
when the bronchus is patent and the consolidation extends to the lung surface
how many lobes of the lungs?
CORRECT ANSWERS!
subjective data for thorax and lungs
-cough
-shortness of breath
-chest pain with breathing
-history of respiratory infections
-smoking history
-environmental exposure
-self-care behaviors
additional history for aging adult (lungs thorax)
-have you notices any shortness of breath or fatigue with daily activities
-usual activity amount
history questions for those with chronic obstructive pulmonary disease, lung cancer, or
tuberculosis
-how are you getting along day to day
-weight change in the last 3 months
-energy level
-do you tire easy
-how does the illness affect you at home and work
,-chest pain with breathing
-chest pain after coughing or after a fall
objective data
-warm room, warm diaphragm end piece
-begin resp exam just after palpating the thyroid gland when standing behind the pt
-clean stethoscope end piece with an alcohol wipe
inspection of thoracic cage
-spinous process should appear in a straight line
-thorax is symmetric, in elliptical shape with downward sloping ribs about 45 degrees relative to
spine
-scapulae are placed symmetrically in each hemithorax
-anteroposterior diameter should be less than transverse diameter
what should the costal angle be
90 degrees or less
what should the AP ratio be
1:2
what does an AP ratio of 1:1 indicate
barrel chest: COPD, emphysema, osteoarthritis and CF
respiration
, exchange of gases: oxygen and carbon dioxide
ventilation
movement of air in and out of the lungs
symmetric expansion
place hands sideways on posterior chest wall with thumbs pointing together at T9 or T10. as the
patient takes a deep breath your thumbs should move symmetrically
what does abnormal expansion indicate
this occurs with marked atelectasis, lobar pneumonia, pleural effusion, thoracic trauma
(fractured ribs or pneumothorax)
tactile fremitus
-use palmar base or ulnar edge or palm of hands
-ask the patient to repeat "ninety-nine" or "blue moon"
-feeling for equal vibrations
decreased fremitus
occurs with obstructed bronchus, pleural effusion or thickening, pneumothorax, or emphysema
increased fremitus
occurs with compression or consolidation of lung tissue (lobar pneumonia) this is present only
when the bronchus is patent and the consolidation extends to the lung surface
how many lobes of the lungs?
