Nur 222 Lung Assessment-Questions and Correct
Solutions
history (ROS) of lungs
- shortness of breath with activity
- cough (productive/nonproductive, sputum (phlegm) analysis
- chest pain with breathing
what do we ask patients about their symptoms?
- "do you have any problems with breathing?"
- if so, "do you have it at rest or with activity?"
- "do you have a cough?"
- if so, "do you cough up any phlegm or sputum?"
- if so, "how much?" ; "what color is it?" ; "what is the consistency?" ; "are you coughing up any
blood?"
what do we do with the patient's signs during lung assessment?
- explain what you're about to do
- ask "please raise your hand if you feel lightheaded during the exam"
- clean stethoscope (alcohol)
- auscultate posterior and anterior lung (breath ) sounds on bare skin
lung assessment purpose:
assess ventilation, respiratory function, and detect possible respiratory problems
what equipment do you need in a lung assessment?
, a stethoscope
what is the purpose of auscultation in the lung assessment?
to auscultate air coming in and out of a person's lung
lung assessment: posterior land marks
the apices at C7 and extend to the bases
landmarks: scapula, vertebra prominens, spinous process
where do you start the posterior sequence of lung assessment?
on the left side of the deltoid
lung assessment: anterior landmarks
apices in the supraclavicular areas down to the 6th rib
landmarks: 2nd intercostal space, suprasternal notch, sternal angle, costal margin, xiphoid
process
where do you start the anterior sequence of lung assessment?
left side on the clavicle
what are the "normal" breath sounds?
bronchial, bronchovesicular, and vesicular
where is the bronchial?
trachea and larynx (only for anterior)
where is the bronchovesicular?
Solutions
history (ROS) of lungs
- shortness of breath with activity
- cough (productive/nonproductive, sputum (phlegm) analysis
- chest pain with breathing
what do we ask patients about their symptoms?
- "do you have any problems with breathing?"
- if so, "do you have it at rest or with activity?"
- "do you have a cough?"
- if so, "do you cough up any phlegm or sputum?"
- if so, "how much?" ; "what color is it?" ; "what is the consistency?" ; "are you coughing up any
blood?"
what do we do with the patient's signs during lung assessment?
- explain what you're about to do
- ask "please raise your hand if you feel lightheaded during the exam"
- clean stethoscope (alcohol)
- auscultate posterior and anterior lung (breath ) sounds on bare skin
lung assessment purpose:
assess ventilation, respiratory function, and detect possible respiratory problems
what equipment do you need in a lung assessment?
, a stethoscope
what is the purpose of auscultation in the lung assessment?
to auscultate air coming in and out of a person's lung
lung assessment: posterior land marks
the apices at C7 and extend to the bases
landmarks: scapula, vertebra prominens, spinous process
where do you start the posterior sequence of lung assessment?
on the left side of the deltoid
lung assessment: anterior landmarks
apices in the supraclavicular areas down to the 6th rib
landmarks: 2nd intercostal space, suprasternal notch, sternal angle, costal margin, xiphoid
process
where do you start the anterior sequence of lung assessment?
left side on the clavicle
what are the "normal" breath sounds?
bronchial, bronchovesicular, and vesicular
where is the bronchial?
trachea and larynx (only for anterior)
where is the bronchovesicular?
