Midterm Exam: NUR634/ NUR 634 (Latest 2023/ 2024 Update) Advanced Health Assessment and Diagnostic Reasoning Study Guide | Questions and Verified Answers| 100% Correct – GCU

Midterm Exam: NUR634/ NUR 634 (Latest 2023/ 2024 Update) Advanced Health Assessment and Diagnostic Reasoning Study Guide | Questions and Verified Answers| 100% Correct – GCU Q: Patient with asthma complains of Answer: SOB, wheezing, tightness to the chest, coughing with exertion or nocturnal cough that is nonproductive, sounds like high pitched whistling on expiration auscultation, decreased air motion. Q: Asthma Atopy TRIAD: Answer: Any family hx of allergies, asthma, or eczema. Q: Decreased air movement and a high-pitched whistling on expiration in all fields is associated with? Answer: Asthma: problems with expiration (getting air out, it is trapped). Q: Acute cough vs chronic cough Answer: Acute cough 3 weeks, chronic cough 8 weeks. Q: Normal sound over lungs: Answer: Resonance Q: Sound heard over hyperinflated lungs: Answer: hyper-resonance. Q: What is the sequence of doing a lung exam Answer: inspect, palpate, percuss, and auscultate. Q: COPD: What is the patient going to complain about prior to diagnosis? Answer: Productive chronic cough in the morning, occasional SOB Q: COPD Diagnosis Answer: Look for smoking hx or exposure to noxious environment. No chest pain. Barrel chest on physical exam, assess AP diameter (increased), decreased breath sounds (rhonchi), tactile phremitis with increased vibration. Q: PNA presents as Answer: chest pain, fever (maybe), cough, sputum production, crackles in lower bases, dullness on percussion, egophony on auscultation. Q: What does dull percussion of the lungs indicate? Answer: Consolidations, PNA Q: A patient presents with with symptoms of fever, SOB, productive cough, and hemoptysis. What ddx do you consider? Answer: PNA Q: Acid Reflux S/S Answer: reflux described as heart burn, sore throat, abdominal discomfort (upper epigastric). Q: Risk factors for acid reflux Answer: laying flat, eating before bed, age, stress, ETOH, high BMI, spicy foods, caffeine, anything citrus, chocolate, diary, carbonated beverages. Q: GERD education