In today's fast-paced educational landscape, students need reliable resources to excel in their studies.
5.0
NURS 612 EXAM 2 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
Quiz: Crackles
Ans: CHF, pulmonary fibrosis, atelectasis. AKA rales. Often heard on
inspiration. Fine crackles are brief, discontinuous, popping lung sounds
that are high-pitched. Fine crackles are also similar to the sound of
wood burning in a fireplace, or hook and loop fasteners being pulled
apart or cellophane being crumpled.
Crackles, previously termed rales, can be heard in both phases of
respiration. Early inspiratory and expiratory crackles are the hallmark
of chronic bronchitis. Late inspiratory crackles may mean pneumonia,
CHF, or atelectasis.
Quiz: Wheezes
Ans: Whistling, high-pitched bronchus; musical noise sounding like a
squeak; most often heard continuously during inspiration and
expiration; usually louder during expiration; COPD, bronchitis, asthma,
pneumonia.
Quiz: Pleural Friction rub
Ans: Loud/grating lung sound. Inflamed pleura, pneumonia, pleuritis,
malignancy. Happens outside tree.
Quiz: Rhochi
,Ans: Loud, low, coarse sounds like a snore most often heard continuously
during inspiration or expiration; usually louder during expiration;
Coarse, low-pitched; may clear with cough.
Quiz: Rales
Ans: Crackles; abnormal respiratory sound heard more often during
inspiration and characterized by discrete discontinuous sounds, each
lasting just a few milliseconds. May be fine, high-pitched, and
relatively longer in duration.
Quiz: Causes of barrel chest?
Ans: Results from compromised respiration as in chronic asthma, cystic
fibrosis, or emphysema.
Quiz: Resonance percussion chest
Ans: loud, low pitch, long duration, hollow quality (expected lung sound,
can usually be heard over all areas of lungs).
Quiz: Dullness percussion
Ans: medium intensity, medium to high pitch, medium duration, dull thud
quality (suggests pneumonia, pleural effusion)
Quiz: Tympany percussion
Ans: loud intensity, high pitch, medium duration, drumlike quality
Quiz: Hyperresonance percussion
Examstudy - Stuvia US
, Ans: very loud intensity, very low pitch, longer duration, booming quality
(associated with hyperinflation and may indicate emphysema,
pneumothorax, or asthma).
Quiz: Differential diagnoses for cough?
Ans: bronchitis, pleural effusion, URI, influenza, pneumonia, croup,
bronchiectasis, emphysema, GERD
Quiz: Normal vs abnormal findings of chest and skin including
inspection, auscultation, palpation?
Ans: Chest--> Inspection: note shape and symmetry of chest
anterior/posterior; Normal: chest symmetrical; AP diameter less than
half transverse diameter ratio 1:2; Barrel chest and pidgeon chest
abnormal findings; observe respiration-rate should be 12-20
respirations a minute (ratio of respirations to heartbeat 1:4);
look for retractions and audible adventitious sounds. Palpation--> palpate
for crepitus, thoracic expansion, and tactile fremitus-decreased or
absent fremitus may be caused by excess air in lungs seen in
emphysema, pleural thickening, effusion, or bronchial obstruction;
Percussion- resonance should be heard over all areas of lungs;
hyperresonance is from hyperinflation and may indicate emphysema,
pneumo, or asthma. Dullness may indicate pneumonia or pleural
effusion; Auscultation--> normal bs vesicular (heard over most lung
fields), bronchovesicular (heard over bronchus area and right upper
lung field), and bronchial (heard only over trachea); Adventitious are
wheezes, crackles, pleural friction rub, and rhochi.
Examstudy - Stuvia US