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NUR 211 - Exam #4 Questions and Answers 100% Pass

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NUR 211 - Exam #4 Questions and Answers 100% Pass movement of air in and out of the lungs - ventilation the process of gas exchange by means of movement of oxygen from the atmosphere into the bloodstream and movement of carbon dioxide from the bloodstream into the atmosphere - respiration How many lobes does each side of the lungs have? - the left lung has 2 lobes and the right lung has 3 lobes What is considered upper airways? - everything above the epiglottis If you're auscultating lungs what side should you listen to first? - the right lung If a patient has pneumonia what is the best way to position them? - "good lung down" 2 100% Pass Guarantee Katelyn Whitman, All Rights Normal PAP - 25/10 During inhalation what happens to the diaphragm? - it moves down and flattens; opposite for exhalation brainstem function - responsible for automatic survival functions; automatic, thoughtless breathing cerebral cortex - is used when anxious or nervous The normal ventilation/perfusion ratio (V/Q) is - 4:5 or 0.8 Low numbers on V/Q scan mean - ventilation problem High numbers on V/Q scan mean - pulmonary vascular issues like a PE V/Q mismatch - hypoxic vasoconstriction How is PaO2 measured? - ABG What happens to PaO2 (the amount of oxygen dissolved in plasma) as oxygen saturation percent decreases? - it decreases as well Factors shifting oxyhemoglobin dissociation curve to the right - acidosis, high PCO2, high temp 3 100% Pass Guarantee Katelyn Whitman, All Rights A right shift means - hemoglobin is giving tissue O2 freely, higher PaO2 A shift to the right means that hemoglobin has what? - less affinity for oxygen so it gives it up freely; right releases, left latches End product of aerobic cellular metabolism - carbon dioxide What disease is an abnormality in hemoglobin? - sickle cell anemia Physical exam order for respiratory system - inspect, palpate, percuss, auscultate slower than 12 breaths per minute - bradypnea faster than 20 breaths per minute - tachypne

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NUR 211 - Exam #4 Questions and
Answers 100% Pass


movement of air in and out of the lungs - ✔✔ventilation


the process of gas exchange by means of movement of oxygen from the

atmosphere into the bloodstream and movement of carbon dioxide from

the bloodstream into the atmosphere - ✔✔respiration


How many lobes does each side of the lungs have? - ✔✔the left lung has 2

lobes and the right lung has 3 lobes


What is considered upper airways? - ✔✔everything above the epiglottis


If you're auscultating lungs what side should you listen to first? - ✔✔the

right lung


If a patient has pneumonia what is the best way to position them? -

✔✔"good lung down"


1
100% Pass Guarantee Katelyn Whitman, All Rights

,Normal PAP - ✔✔25/10


During inhalation what happens to the diaphragm? - ✔✔it moves down

and flattens; opposite for exhalation


brainstem function - ✔✔responsible for automatic survival functions;

automatic, thoughtless breathing


cerebral cortex - ✔✔is used when anxious or nervous


The normal ventilation/perfusion ratio (V/Q) is - ✔✔4:5 or 0.8


Low numbers on V/Q scan mean - ✔✔ventilation problem


High numbers on V/Q scan mean - ✔✔pulmonary vascular issues like a PE


V/Q mismatch - ✔✔hypoxic vasoconstriction


How is PaO2 measured? - ✔✔ABG


What happens to PaO2 (the amount of oxygen dissolved in plasma) as

oxygen saturation percent decreases? - ✔✔it decreases as well


Factors shifting oxyhemoglobin dissociation curve to the right -

✔✔acidosis, high PCO2, high temp


2
100% Pass Guarantee Katelyn Whitman, All Rights

,A right shift means - ✔✔hemoglobin is giving tissue O2 freely, higher

PaO2


A shift to the right means that hemoglobin has what? - ✔✔less affinity for

oxygen so it gives it up freely; right releases, left latches


End product of aerobic cellular metabolism - ✔✔carbon dioxide


What disease is an abnormality in hemoglobin? - ✔✔sickle cell anemia


Physical exam order for respiratory system - ✔✔inspect, palpate, percuss,

auscultate


slower than 12 breaths per minute - ✔✔bradypnea


faster than 20 breaths per minute - ✔✔tachypnea


Faster than 20 breaths per minute, deep breathing - ✔✔hyperventilation


frequent interspersed deeper breaths - ✔✔sighing


Increasing difficulty in getting breath out - ✔✔air trapping


varying periods of increasing depth interspersed with apnea - ✔✔cheyne-

stokes


3
100% Pass Guarantee Katelyn Whitman, All Rights

, Rapid, deep, labored - ✔✔Kussmaul


irregularly interspersed periods of apnea in a disorganized sequence of

breaths - ✔✔biot


significant disorganization with irregular and varying depths of respiration

- ✔✔ataxic


If a patient has malignant hyperthermia what happens to their body? -

✔✔CO2 and heart rate rise


Describe hyperresonance - ✔✔loud/booming; may indicate asthma,

emphysema, or pneumothorax


Describe tympany - ✔✔loud/drum-like; may indicate large pneumothorax

or emphysematous blebs


Describe dullness - ✔✔Could indicate atelectasis, pleural effusion,

pulmonary edema, pneumonia


Flatness on auscultation could indicate - ✔✔massive atelectasis




4
100% Pass Guarantee Katelyn Whitman, All Rights

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