WEEK 4 (QUIZ 3)-PHYSICAL
ASSESSMENT- WCU EXAM WITH
COMPLETE SOLUTIONS
Why is a productive cough associated with chronic bronchitis? -ANSdue to the chronic
inflammation - leaky mucus =blocked air ways
What is emphysema? -ANSchromic inflammation that leads to decreased elasticity of
lungs
Does emphysema cause hyperinflation due to air trapped in the lungs? -ANSyes
What are some things the pt might express to you that have emphysema? -ANSSOB on
exertion, air hunger
What are some objective findings you can collect from a pt with emphysema? -
ANSbarrel chest, and decreased chest expansion
How are the breath sounds on a pt with emphysema? -ANSdiminished
What is a unique finding of the CO2 in pt with emphysema? -ANShypercarbia
(increased blood concentration of CO2)
What is an infection that causes fluid, bacteria, and cellular debris to fill the alveoli? -
ANSlobar pnumonia
What are some objective findings you can gather in a pt with lobar pnumonia? -
ANSincreased RR
fever
decreased O2 sat
What would the auscultation sound like on a pt with lobar pnumonia? -ANSbronchial
breath sounds and crackles
Would the percussion be dull or flat in a pt with lobar pneumonia? -ANSDull
, What is a fluid accumulation in the plural space? -ANSpleural effusion
What may the pt say to the nurse on assumption of the pt having plural effusion? -ANS"I
have sharp, chest pain that stays in the same spot"
How would the breath sounds be in a pt with plural effusion? -ANSdiminished or absent
on affected area
How might the fremitus be in a pt with plural effusion? -ANSdecreased or absent
(tactile)
what is pneumothorax? -ANSair that moves into the lungs cause a partial or complete
collapse of lung
How can a pneumothorax form? -ANStraumatic, tension, or spontaneous
What may the pt say they are feeling with pneumothorax? -ANSIm having sharp chest
pain on inspiration
What does the percussion sound like in the affected area of pneumothorax? -ANSHyper
resonance
What are the breath sounds going to sound like in pneumothorax? -ANSabsent or
diminished
What will the unaffected side of pneumothorax experience? -ANStracheal deviation
Does pulmonary congestion occur in left sided heart failure? -ANSyes
On auscultation with a pt with left sided heart failure might we hear? -ANSwheezes or
crackles in lung base
What would the skin color of the pt with left sided heart failure have? -ANSpallor
What are 2 expected findings in a pt with left sided heart failure? -ANS-decreased chest
wall expansion on affected side
-tracheal deviation to unaffected side
What is the respiratory fungal infection that occurs in dry areas? -ANSValley fever
What pt are at risk of getting valley fever? -ANSimmunosuppressed, HIV, organ
transplant
What another name for valley fever -ANScoccidioidomycosis
What is a subjective finding of valley fever? -ANSheadache, joint pain
ASSESSMENT- WCU EXAM WITH
COMPLETE SOLUTIONS
Why is a productive cough associated with chronic bronchitis? -ANSdue to the chronic
inflammation - leaky mucus =blocked air ways
What is emphysema? -ANSchromic inflammation that leads to decreased elasticity of
lungs
Does emphysema cause hyperinflation due to air trapped in the lungs? -ANSyes
What are some things the pt might express to you that have emphysema? -ANSSOB on
exertion, air hunger
What are some objective findings you can collect from a pt with emphysema? -
ANSbarrel chest, and decreased chest expansion
How are the breath sounds on a pt with emphysema? -ANSdiminished
What is a unique finding of the CO2 in pt with emphysema? -ANShypercarbia
(increased blood concentration of CO2)
What is an infection that causes fluid, bacteria, and cellular debris to fill the alveoli? -
ANSlobar pnumonia
What are some objective findings you can gather in a pt with lobar pnumonia? -
ANSincreased RR
fever
decreased O2 sat
What would the auscultation sound like on a pt with lobar pnumonia? -ANSbronchial
breath sounds and crackles
Would the percussion be dull or flat in a pt with lobar pneumonia? -ANSDull
, What is a fluid accumulation in the plural space? -ANSpleural effusion
What may the pt say to the nurse on assumption of the pt having plural effusion? -ANS"I
have sharp, chest pain that stays in the same spot"
How would the breath sounds be in a pt with plural effusion? -ANSdiminished or absent
on affected area
How might the fremitus be in a pt with plural effusion? -ANSdecreased or absent
(tactile)
what is pneumothorax? -ANSair that moves into the lungs cause a partial or complete
collapse of lung
How can a pneumothorax form? -ANStraumatic, tension, or spontaneous
What may the pt say they are feeling with pneumothorax? -ANSIm having sharp chest
pain on inspiration
What does the percussion sound like in the affected area of pneumothorax? -ANSHyper
resonance
What are the breath sounds going to sound like in pneumothorax? -ANSabsent or
diminished
What will the unaffected side of pneumothorax experience? -ANStracheal deviation
Does pulmonary congestion occur in left sided heart failure? -ANSyes
On auscultation with a pt with left sided heart failure might we hear? -ANSwheezes or
crackles in lung base
What would the skin color of the pt with left sided heart failure have? -ANSpallor
What are 2 expected findings in a pt with left sided heart failure? -ANS-decreased chest
wall expansion on affected side
-tracheal deviation to unaffected side
What is the respiratory fungal infection that occurs in dry areas? -ANSValley fever
What pt are at risk of getting valley fever? -ANSimmunosuppressed, HIV, organ
transplant
What another name for valley fever -ANScoccidioidomycosis
What is a subjective finding of valley fever? -ANSheadache, joint pain
