NU 216 Thorax & Lungs Exam Questions with Correct Answers

NU 216 Thorax & Lungs Exam Questions with Correct Answers commonly reported problems related to lungs (3) - Answer-cough, shortness of breath, chest pain with breathing follow up with OLDCARTS White/clear sputum indicates - Answer-viral infection yellow/green sputum indicates - Answer-bacterial infection pink sputum indicates - Answer-pulmonary edema rusty sputum indicates - Answer-tuberculosis hemoptysis - Answer-bloody sputum subjective data (5) - Answer-history of respiratory infections smoking medication environmental exposure self care how many lobes on left & right - Answer-left-2 right-3 airway/appearance (4) - Answer-Patency of airway (PO and nasal) rhinitis phlegm Clothing breathing (6) - Answer-work of breathing quality pattern RR O2 sat cough circulation (6) - Answer-cap refill skin color temp HR BP Clubbing cognition (2) - Answer-A&O x? confusion? deformity (3) - Answer-posture voice quality adventitious noises equipment (3) - Answer-any in use? any prescribed? clean your own equipment inspection (5) - Answer-Note shape and configuration of chest wall. Assess skin color and condition. Trachea position Characteristics of respirations AP:T Ratio what does AP:T ratio show? - Answer-presence of barrel chest -if ratio is not 1:2 -seen in people with chronic respiratory illness tracheal deviation caused by - Answer-pneumothorax -one lung is working harder than the other -medical emergency Palpation (3) - Answer-symmetric chest expansion -T9/10 chest wall tactile fremitus predominant note over lungs - Answer-resonance tactile fremitus - Answer-a tremulous vibration of the chest wall during speaking that is palpable on physical examination -have pt say 99 bronchial breath sounds amplitude & location - Answer-loud amplitude located in trachea & larynx broncho-vesicular breath sounds amplitude & location - Answer-moderate amplitude located in sternum by ICS 1-2 & between scapula vesicular breath sounds amplitude & location - Answer-soft amplitude located in peripheral lung fields apex of lung - Answer-located above clavicle if abnormalities are heard... - Answer-ask pt to cough and re-evaluate lung sounds midaxillary lung sounds - Answer-two on left side three on right side -triangle fine crackles (rales) characteristics (4) - Answer-cracking/popping sound during inspiration not cleared with coughing rolling hair between fingers fine crackles indicates (3) - Answer-pneumonea bronchitis chronic pulmonary disease coarse crackles characteristics (4) - Answer-bubbling/gurgling sound during inspiration & exhalation not cleared with coughing velcro ripping coarse crackles indicates (3) - Answer-pneumonea CHF terminally ill with depressed cough reflex wheezing characteristics (high pitched) (3) - Answer-musical/whistle sounds can be heard in both I & E, but primarily in E dont ask pt to cough