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NRSG 2220 EXAM 3 WITH COMPLETE SOLUTIONS 100% VERIFIED

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NRSG 2220 EXAM 3 WITH COMPLETE SOLUTIONS
100% VERIFIED


What are the clinical manifestations of respiratory distress? - Answer Cyanosis

Low O2 Stat

Bradycardia

Increase/decrease RR

Accessory muscle Use

Wheezing/Stridor

Pursed Lips

Sweating

Tripod Breathing



What are the parts of the thorax? - Answer lungs and pleura



What is important medical information to get from the patient about respiratory health? -
Answer Would want to know if the patient is smoking or vaping (what, how long, how
many, how often)

Past trauma or surgery

Cough-productive or nonproductive

Environmental factors



Where are bronchial breaths heard? - Answer Over the larynx and trachea

High pitched, harsh blowing sounds

Expiratory is longer

,Where are bronchovasular breaths heard? - Answer Mainstem bronchus

Moderate blowing sound

Inspiratory = Expiratory



Where are vesicular breaths heard? - Answer Most of the lung field

Soft, low-pitched, whispering sounds

Inspiratory is longer



What are wheezing breath sounds? - Answer Musical sounding, high pitched

Heard on patients with asthma

Heard on both inhalation and exhalation



What are rhonchi (wheeze) breath sounds? - Answer AKA Sonorous Wheeze

Sounds like snoring

Low-pitched

Heard on both inhalation and exhalation

Heard in patients with inflamed bronchi due to air passing through or around secretions


Coughing common



What are crackle breath sounds? - Answer Bubbling, popping

Due to air in lungs

Heard on inhalation

Heard inpatients with heart failure, pneumonia



What is stridor breath sounds? - Answer Narrowing of airways

Sound like barking

, Heard on inhalation

Prude pediatric patients can have this



What are friction rub breath sounds? - Answer Rubbing or grating sound

Pleura rubs against chest wall

Pleuritis or inflamed pleura



If any abnormal breath sounds are heard, what is important to listen for in order to
document? If any of these sounds are heard, listen for the loudness, pitch, duration,
timing in the respiratory cycle (inspiration vs. expiration), location on the chest wall,
variations with breathing, and any change after a cough or deep breath

What is included in a respiratory assessment? Listen to lung sounds

O2 saturation

Pulse pressure rate



What is a pulse oximeter? - Answer noninvasive technique that measures the peripheral
arterial oxyhemoglobin saturation (SpO2) of arterial blood.



What are the common symptoms of hypoxia? - Answer Dyspnea (difficulty breathing)on
exertion

Elevated blood pressure with a small pulse pressure

Increased respiratory and pulse rates

Pallor

Cyanosis

Anxiety

Restlessness

Confusion

Drowsiness

Low pulse pressure

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