QUESTIONS & ANSWERS PASSED
100%
health history - CORRECT ANSWER Any risk factors for respiratory disease
Smoking
pack years ppd X # years
exposure to smoke
history of attempts to quit, methods, results
Sedentary lifestyle, immobilization
Age
Environmental exposure
Dust, chemicals, asbestos, air pollution
Obesity
Family history
Health History questions - CORRECT ANSWER Cough
Shortness of breath- dyspnea
Orthopnea- difficulty breathing when supine -lying down, # pillows to keep up
Paroxysmal nocturnal dyspnea- awaking with SOB, needs to be upright for comfort
Asthma
Chest pain with breathing- resp, cardiac, gastro with reflux
History of respiratory infections
Smoking history
Environmental exposure
Self-care behaviors
medical history - CORRECT ANSWER Respiratory infections or diseases (URI)
Trauma
Surgery
Chronic conditions of other systems
Family history - CORRECT ANSWER -Tuberculosis
-emphysema
-Lung cancer
-allergies
-asthma
History: cough - CORRECT ANSWER Type - dry (early heart failure), moist,
wet/congested (colds, bronchitis, pneumonia), productive, hoarse, hacking, barking
(croup), whooping,
, Onset
Duration
Pattern - activities, time of day, weather (all day- infection, irritants, night- postnasal
drip, morning- smokers chronic inflammation)
Severity and effect on ADLs
Wheezing
Associated symptoms
Treatment and effectiveness
history: cough (sputum) - CORRECT ANSWER Amount
Presence of blood (hemoptysis)
Odor
Consistency
Pattern of production
Color-
white or clear- mucoid with colds, viral, bronchitis
Yellow or green- bacterial infections
Rust colored- TB, pneumonia
Pink, frothy- pulmonary edema,
Position and surface landmarks - CORRECT ANSWER Thoracic cage is a bony
structure with a conical shape, which is narrower at top.
Defined by sternum, 12 pairs of ribs, and 12 thoracic vertebrae
Floor is the diaphragm, a musculotendinous septum that separates thoracic cavity from
abdomen.
First seven ribs attach to sternum by costal cartilages.
Ribs 8, 9, and 10 attach to costal cartilage above.
Ribs 11 and 12 are "floating," with free palpable tips.
Costochondral junctions are points at which ribs join their cartilages; they are not
palpable.
Sternum: "breastbone" has three parts; manubrium, body, and xiphoid process
Four major functions of respiratory system: - CORRECT ANSWER 1) Supplying
oxygen to the body for energy production
2) Removing carbon dioxide as a waste product of energy reactions
3) Maintaining heat exchange (less important in humans)
4) Maintaining homeostasis (acid-base balance) of arterial blood
-By supplying oxygen to blood and eliminating excess carbon dioxide, respiration
maintains pH or acid-base balance of blood.
-Although a number of compensatory mechanisms regulate pH, lungs help maintain
balance by adjusting level of carbon dioxide through respiration.
-Hypoventilation (slow, shallow breathing) causes carbon dioxide to build up in blood,
-Hyperventilation (rapid, deep breathing) causes carbon dioxide to be blown off.
Control of respirations - CORRECT ANSWER Involuntary control of resp. is mediated
by the resp. center in the brainstem (pons and medulla).