Medical-Surgical Nursing Chapter 20
A brassy cough is the result of a - correct answertracheal lesion
A dry irritative cough is characteristic of - correct answerURI or SE of ACE inhibitors
Airway Resistance - correct answerDetermined by the radius or size of the airway, as well as lung
volumes and airflow velocity.
Change in the width or diameter affects airway resistance and alters the rate of airflow.
An irritative, high pitched cough can be caused by - correct answerlarygnotracheitis
ARD - correct answeracute respiratory disease
ARDS (acute respiratory distress syndrome) - correct answerrespiratory insufficiency marked by
progressive hypoxia
Barrel Chest - correct answeroccurs as a result of overinflation of the lungs. Age, Emphysema and COPD.
Blood from the _____ is usually bright red, frothy, and mixed with sputum. With a tickling sensation in
the throat, a salty taste, a burning or bubbling sensation in the chest and chest pain. - correct
answerLungs
Blood from the ______ is vomited rather than expectorated, may be mixed with vomit and is usually
dark "coffee grounds" - correct answerStomach.
Causes of increased airway resistance - correct answerContraction of bronchial smooth muscle-Asthma
Thickening of bronchial mucosa- chronic bronchitis
Obstruction of the airway-mucous, tumor, or foreign body.
, Loss of Lung Elasticity-Emphysema
Compliance - correct answerThe elasticity and expandability of the lungs and thoracic cavity.
Decreased compliance is r/t morbid obesity, pneumothorax, hemothorax, pleural effusion, pulmonary
effusion, and ARDs.
Coughing @ night may be associated with - correct answerLHF or bronchial asthma.
dead space - correct answer
Dyspnea - correct answersubjective feeling of difficult or labored breathing, breathlessness, SOB. Can be
r/t decreased lung compliance or increased airway resistance.
Expiratory reserve volume (ERV) - correct answerThe maximum volume of air that can be exhaled
forcibly after a normal exhalation.
Fremitus - correct answervibrations of the chest wall ("Ninety-nine")
Funnel Chest - correct answerdepression in lower portion of
sternum. May compress heart and great vessels resulting in murmurs.
Hemoptysis - correct answerthe expectoration of blood from the respiratory tract. ALWAYS WARRANTS
FURTHER INVESTIGATION.
Hypoxemia - correct answerLow blood o2
Inspiratory reserve volume - correct answerThe maximum volume of air that can be inhaled after a
normal inhalation.
Kyphoscoliosis - correct answerElevation of scapula with a corresponding S shaped spine.