FULL REVIEW CRT/RRT (NBRC) questions and answers latest top score.

FULL REVIEW CRT/RRT (NBRC) questions and answers latest top score. Ascites - correct ulation of fluid in the abdomen caused by LIVER FAILURE Venous distention - correct answers.-occurs with CHF -seen with obstructive patients (seen in exhalation phase) Capillary refill - correct answers.-indication of peripheral circulation -Normal 3 seconds Jaundice skin color - correct answers.-increase in bilirubin. -mostly in face and trunk Bradypnea (oligopnea) - correct answers.-decreased respiratory rate (12bpm) variable depth and irregular rhythm Hyperpnea - correct answers.-increased rate, depth, with regular rhythm Cheyne-Stokes - correct answers.-gradually increasing then decreasing rate and depth in a cycle lasting from 30 - 180 secs, with apnea up to 60 secs -increased ICP, meningitis, overdose Biots - correct answers.-increased rate and depth with irregular periods of apnea -CNS problem, head/brain injury Kussmaul's - correct answers.-increased rate, depth, irregular rhythm, breathing sounds labored -Raspy voice Apneustic - correct nged gasping inspiration followed by extremely short, insufficient expiration -respiratory center problems, trauma, tumor cachectic - correct e atrophy/loss of muscle tone retractions - correct answers.-chest moves inward during inspiratory efforts instead of outward -blocked airway in adults = INTUBATE -RDS in infants Character of cough - correct answers.-dry, non-productive cough may indicate tumor in the lungs or asthma -productive cough may indicate infection evidence of difficult airway - correct answers.-short receding mandible (chin) -enlarged tongue (macroglossia) -bull neck -limited neck range-of-motion pulsus paradoxus - correct answers.-pulse/blood pressure varies with respiration. may indicate severe air trapping (status asthmaticus or cardiac tamponade) tactile fremitus - correct answers.-vibrations felt by hand on chest wall -vocal fremitus: voice vibrations on the chest wall -pleural rub fremitus: grating sensation due to roughened pleural spaces -Rhonchial fremitus(palpable rhonchi): secretions in airways Crepitus - correct answers.-bubbles of air under skin that can be palpated and indicates subcutaneous emphysema Resonant percussion - correct answers.-hollow sound -normal lungs Flat percussion - correct answers.-heard over sternum, muscles, or areas of atelectasis Dull percussion - correct answers.-heard over fluid-filled organs such as heart or liver (thudding) -pleural effusion or pneumonia Tympanic percussion - correct answers.-heard over air-filled stomach. -drum-like sound and when heard over lung = increased volume Hyperresonant - correct answers.-found where pneumothorax or emphysema is present. -booming sound vesicular breath sounds - correct l sounds in lungs bronchial breath sounds - correct answers.-normal sounds over airways. -breath sounds over lungs indicate LUNG CONSOLIDATION Egophony - correct answers.-patient instructed to say E and sounds like A. -lung consolidation