Practice Questions with Verified Answers |
Key Topics for Exam Preparation
What happens to airways above/below chest cage when you exhale? - ANSWER Above Chest
Cage: Expand
Below Chest Cage: Shrink
Inspiratory Reserve Volume - ANSWER Maximal amount of additional air that can be drawn into
lungs by determined effort after normal inspiration
Expiratory Reserve Volume: - ANSWER Additional amount of air that can be expired from the
lungs by determined effort after normal expiration
Residual Volume - ANSWER Volume of air remaining in the lungs after a maximal exhalation
Total Lung Capacity - ANSWER Most air you can inspire into your lungs
Dyspnea Assessment - ANSWER - Are you having trouble breathing?
- Has this happened before?
- At rest? During activity?
- Do you use an inhaler? Take meds?
- 1-10
,What dyspnea looks like in a client - ANSWER - Gasping
- Effort to breath
- Air hunger
- Short of breath sooner than used to be after activity
- Tightness in chest
- Wheezing
- Coughing
Exacerbation of Dyspnea signs - ANSWER - Increased dyspnea
- Sputum
- Yellow/green sputum = bacterial lung infection
- Severe coughing
- Fatigue
Dyspnea 0-4 - ANSWER 0: Dyspnea with strenuous exercise
1: Dyspnea when hurrying/stairs
2: Dyspnea causing client to walk slower than normal
3: Dyspnea causing client to stop for a breath when walking a short distance
4: Dyspnea at rest, with daily activities, client can't leave home
Why does dyspnea occur? - ANSWER - Gas exchange impaired
- Perfusion impaired
- Anxiety
- Decrease in lung/chest compliance
- Airway resistance
,- Neuromuscular dysfunction
- Gas transport problems
White/Clear Sputum - ANSWER Colds, viral infections, bronchitis, inflammation
Green/Yellow Sputum - ANSWER bacterial infection
Black Sputum - ANSWER Smoke or coal dust inhalation
Rust Sputum - ANSWER Tuberculosis, pneumonia, blood
Assessing Older Adults - ANSWER - Rigidity: Rib cage, ribs slanting down, kyphoscoliosis =
decreased chest expansion
- Less muscle mass
- Increased AP diameter
- Decreased elasticity of alveoli
- Decreased CO, vasoconstriction, anemia, and/or peripheral vascular disease
Social Determinants of Health (SDOH) - ANSWER Social and economic conditions in which
people are born, grow, live, work, and age.
Agent - ANSWER The organism, substance, or factor that causes disease.
Host - ANSWER The person or organism capable of developing disease.
Environment - ANSWER External conditions that influence the occurrence or transmission of
disease.
, Determinants of Health (DoH) - ANSWER Factors that influence the health of individuals and
populations.
Homeostasis - ANSWER Maintenance of physiological, functional, & social norms leading to
adaptation & homeostasisFeeling in control over one's life and living conditions
Human potential - ANSWER Actualization of human potential through goal-directed behaviour,
competent self-care & satisfying relationships with othersHaving a sense of purpose
Harmony - ANSWER Adjustment to maintain structural integrity & harmony with relevant
environmentsFeeling connected to the community
Community definition - ANSWER People & relationships Share = agencies, institutions, physical
environment Defined by = geography common interest or focus shared status or special interest
groupCan be a client
population - ANSWER eg. School of health sciences
aggregate - ANSWER Groups that form a population. eg. BCIT student in BSN program
Population health - ANSWER Measured by determinants of health (DoH) & health status
indicators Improves the health of populations & decreased inequitiesScope consists of the
following 5 elements -think of these as clients ( individuals, families, groups, communities,
population)