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Exam (elaborations)

NURS 6011 and 6013 Exam 2 Questions with complete solutions 2025.

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NURS 6011 and 6013 Exam 2 Questions with complete solutions 2025.

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NURS 6011 and 6013 Exam 2 Questions
with complete solutions 2025




the .__ .is .the .site .of .the .cough .reflex .- .ANS✓✓-carina

patients .who .need .nasotracheal .suctioning .will .cough .when .the .nasotracheal
.tubing .reaches .the .- .ANS✓✓-carina .(approximately .the .2nd .rib .space) .
this .signals .that .tubing .is .near .the .lungs .and .if .the .cough .is .effective
.suctioning .may .begin


during .CPR .hand .are .placed .above .the .__ .process .to .avoid .breaking .it .off .form
.the .sternum .and .causing .complications .such .as .pneumothorax, .hemothorax, .or
.liver .injury .- .ANS✓✓-xiphoid


the .left .lung .has .__ .lobes. .the .right .lung .has .__ .lobes .- .ANS✓✓-two, .three

the .__ .refers .to .the .very .bottom .of .the .lung .fields, .the .__ .is .the .very .top
.opposite .of .the .labeling .of .the .heart .- .ANS✓✓-base, .apex


lungs .are .auscultated .from .- .ANS✓✓-apex .to .base

the .apex .of .each .lung .rises .above .the .clavicle .where .lungs .sounds .are .___ .-
.ANS✓✓-audible


breath .sounds .over .the .trachea .and .mainstream .bronchi .are .__ .and .__ .than
.over .the .other .lung .fields .because .these .airways .have .larger .diameters .and
.thus .more .airflow .than .smaller .airways .- .ANS✓✓-louder .and .harsher


gas .exchange .occurs .in .- .ANS✓✓-the .alveoli .of .the .lungs

when .fluid .fills .the .alveoli .__ .__ .may .be .audible .on .auscultation .- .ANS✓✓-fine
.crackles


excessive .fluid .in .the .alveoli .interfere .with .- .ANS✓✓-gas .exchange, .resulting .in
.decreased .or .absent .breath .sounds .in .that .portion .of .the .lung


the .upper .respiratory .tract .is .responsible .for .- .ANS✓✓-moisturizing .inhaled .air
.and .filtering .noxious .particles

,respiration .- .ANS✓✓-is .primarily .an .automatic .process .initiated .by .the
.respiratory .center .of .the .brainstem .(pons .and .medulla) .based .on .cellular
.demands


the .main .trigger .for .breathing .is .- .ANS✓✓-increased .level .of .carbon .dioxide .in
.the .blood


when .breathing .is .trigger .- .ANS✓✓-the .diaphragm .contacts .and .flattens .pulling
.the .lungs .down. .the .thorax .and .lungs .elongate .increasing .the .vertical .diameter


with .aging .respiratory .strength .__ .- .ANS✓✓-declines

with .aging .respiratory .strength .declines .lungs .lose .__, .flexibility .__ .in .the
.cartilage .of .the .ribs, .and .bone .density .___. .- .ANS✓✓-elasticity, .decreases,
.decreases


if .a .patient .has .acute .shortness .of .breath, .immediately .assess .airway
.respiratory .and .pulse .rates, .BP, .and .oxygen .saturation. .Auscultate .the .lungs .to
.identify? .- .ANS✓✓-abnormalities .such .as .diminished .or .absent .breath .sounds
.or .evidence .of .fluid .in .the .lungs .
-administer .oxygen .or .a .bronchodilating .inhaler .as .ordered. .if .the .patient .is .in
.bed .elevate .the .head .of .the .bed .to .reduce .the .effect .of .gravity .on .the .effort .of
.breathing


orthopnea .- .ANS✓✓-difficulty .breathing .when .lying .flat .often .sleep .on .two .or
.more .pillows .or .even .in .recliners


paroxysmal .nocturnal .dyspnea .(PND) .- .ANS✓✓-patients .who .awaken .at .night
.with .sudden .shortness .of .breath. .the .cause .is .fluid .overload .resulting .from .the
.elevation .of .the .legs, .which .shifts .the .fluid .present .there .to .the .bodies .core


wheezing .- .ANS✓✓-associated .with .asthma, .CHF, .and .bronchitis .
-it .occurs .in .response .to .narrowed .bronchioles .
-wheezing .with .asthma .is .worse .in .response .to .offending .allergies, .at .night,
.and .in .the .early .morning


patients .in .respiratory .distress .or .with .COPD .often .assume .a .__ .position,
.leaning .forward .on .a .stationary .object .such .as .table .or .with .their .elbows .on
.their .knees. .this .position .increases .the .size .of .the .thoracic .cavity, .facilitating
.airflow. .- .ANS✓✓-tripod


hypoxemia .- .ANS✓✓-a .low .level .of .oxygen .in .the .blood

bradypnea .- .ANS✓✓-is .less .than .10 .breaths/min

tachypnea .- .ANS✓✓-is .breathing .greater .than .24 .breaths/min

,pallor .or .cyanosis .of .the .nail .beds .indicate .__ .- .ANS✓✓-hypoxia

crackles .- .ANS✓✓-are .discontinuous .sounds .that .are .caused .by .fluid .in .the
.airways .or .alveoli .or .that .result .from .the .opening .of .collapsed .airways .and
.alveoli .while .they .reinflate .during .deep .breathing. .they .sound .like .hairs .rubbing
.together .near .the .ear .or .velcro .opening .and .are .most .often .heard .on
.inspiration .although .they .can .occasionally .be .heard .during .expiration


__ .are .continous, .high-pitched, .musical .sounds .caused .by .air .squeezing
.through .narrowed .airways, .as .occurs .in .asthma. .- .ANS✓✓-wheezing


rhonchi .- .ANS✓✓-continous, .low-pitched, .snoring .sounds .resulting .from
.secretions .moving .around .in .airways. .may .be .clear .with .coughing .and .are
.heard .most .commonly .in .patients .with .chronic .bronchitis


Bronchophony .- .ANS✓✓-the .word .99 .is .clear .and .louder .over .denser .areas. .it
.sounds .as .if .the .patient .is .speaking .directly .into .the .stethoscope .this .is
.documented .as .positive .bronchophony


egophony .- .ANS✓✓-the ."EEE" .sounds .like .a .loud ."AAA"

bronchial .breath .sounds .- .ANS✓✓-loud .and .high .pitch .
coarse .and .tubular .
inspiration .less .than .expiration .
usually .in .larynx .and .trachea

bronchovesicular .breath .sounds .- .ANS✓✓-intermediate .and .intermediate .in
.intensity .and .pitch .
intermediated .quality .
inspiration .equal .to .expiration .
usually .anteriorly .between .1st .and .2nd .ICS; .between .scapula

vesicular .breath .sounds .- .ANS✓✓-soft .and .low .intensity .and .pitch .
whispering .undertones .
inspiration .greater .than .expiration .
usually .over .most .of .the .lung .fields

common .respiratory .symptoms .include .- .ANS✓✓-chest .pain .
dyspnea .
orthopnea .
paroxysmal .nocturnal .dyspnea .
cough .
sputum .
audible .wheezing .
change .in .functional .ability

abnormal .breathing .patterns .include .- .ANS✓✓-tachypnea .
hyperventilation .

, bradypnea .
hypoventilation .
cheyne-strokes .respiration .
biot .breathing .
axonal .breathing .
apnea

adventitious .lung .sounds .include .- .ANS✓✓-crackles, .wheezes, .rhonchi, .pleural
.friction .rub, .and .stridor


structurally .the .respiratory .system .is .divided .into .upper .and .lower .portions .the
.upper .portion .- .ANS✓✓-warms, .moisturizes, .and .transports .air .to .the .lower
.position .where .oxygen .and .ventilation .occur


the .bony .thoracic .cage .includes .the .- .ANS✓✓-sternum .and .clavicle .anteriorly .
scapulae .and .12 .vertebrae .posterior .and .12 .pairs .of .ribs .encircling .the .thoracic
.cage


the .thoracic .cavity .contains .three .main .compartments .- .ANS✓✓-airways .
blood .vessels .
interstitium

the .two .pulmonary .arteries .carry .deoxygenated .blood .from .the .__ .side .of .the
.heart .to .each .lung, .where .gas .exchange .occurs, .whereas .two .pulmonary .veins
.return .oxygenated .blood .to? .- .ANS✓✓-right, .left .side .of .the .heart .for
.circulation .to .the .rest .of .the .body


apnea .- .ANS✓✓-no .breathing .at .all

hypoventilation .- .ANS✓✓-slow .breathing

hyperventilation .- .ANS✓✓-fast .breathing

sputum .- .ANS✓✓-mucus .that .is .coughed .up .form .the .lower .airways .the
.trachea .and .bronchi


the .mucoid .sputum .of .bronchitis .is .- .ANS✓✓-clear .and .white

purulent .yellow .or .green .sputum .or .creamy .sputum .especially .with .a .foul .odor
.indicates .the .presence .of .- .ANS✓✓-white .cells .and .bacterial .infection


rust .colored .sputum .is .found .with .- .ANS✓✓-TB, .pneumococcal .pneumonia

___ .breath .sounds .are .soft, .low-pitched, .and .found .over .fine .airways .near .the
.site .of .air .exchange .- .ANS✓✓-vesicular

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