NUR 502 Exam 1 Study Guide with verified answers
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inacurate |bp |reading |false |ELEVATED |- |correct |answer | |cuff |elevated |too |slow, |crossed |legs, |pt |is |
angry/anxious, |arm |below |level |of |heart, |cuff |too |tight
inacurate |bp |reading |false |DECREASED |- |correct |answer | |cuff |inflated |too |high, |pushing |stethoscope |
too |hard |on |the |brachial |artery, |failing |to |palpate |the |radial |artery |before |inflation, |arm |above |heart |
level, |cuff |too |loose
Risk |factors |of |HTN |- |correct |answer | |age, |race |(black |community), |sex |(post-menopausal |women), |
stress, |obesity, |tobacco/alc |use, |diabetes
Bell |of |Stethoscope |- |correct |answer | |beLOW: |low |pitched |sounds |(heart |murmurs, |extra |heart |
sounds)
diaphram |of |stethoscope |- |correct |answer | |high |pitched |sounds |(breath |sounds, |normal |heart |sounds,
|abdominal |sounds)
Bronchial |location/heard |- |correct |answer | |tracheal |or |tubular |
location: |trachea |and |larynx
heard: |high |pitch, |long |amplitude, |insp |lower |than |exp, |harsh/hallow |tubular |quality
bronchovesicular |location/heard |- |correct |answer | |location: |over |major |bronchi |where |fewer |alveoli, |
between |scapulae, |around |upper |sternum |in |1st |or |2ns |intercostal |spaces |
heard: |moderate |pitch, |moderate |amplitude, |insp=exp, |mixed |quality
vesicular |location/heard |- |correct |answer | |location: |over |peripheral |lung |fields |where |air |flows |
through |smaller |bronchioles |and |alveoli
heard: |low |pitch, |soft |amplitude, |insp |higher |than |exp, |rustling |(sound |of |wind |in |trees)
,Wheezing |( |what |disease) |- |correct |answer | |COPD |(sibilant, |sonorous)
big |cause |is |allergies/inflammation |
last |second |of |breathing |out
Strider |(what |disease) |- |correct |answer | |Asthma, |choking |(huge |gasp) |
upper |airway, |super |closed
Crackles |(what |disease) |- |correct |answer | |Pneumonia |(fine |or |course, |atelectatic |crackles) |
too |much |fluid
bronchi- |bacterial/mucous |build |up |-changes |with |cough
pleural |rub |(what |disease) |- |correct |answer | |irritation/inflammation |between |organs
Hemoptysis |(what |disease) |- |correct |answer | |coughing |up |blood |(frothy |blood)
Resonance |(heard/where) |- |correct |answer | |air |(lungs), |medium |to |loud, |clear/hallow |sound |moderate
|in |duration
hyperresonance
dullness |(heard/where) |- |correct |answer | |fluid |or |solid |organs |(liver) |
soft, |muffled, |thud-like |ton
bruit |- |correct |answer | |heard |over |blood |vessels, |abnormal |sounds, |indicates |turbulent |blood |flow
wheezes |- |correct |answer | |obstruction |in |bronchioles/lower |trachea, |high |pitch |sounds |heard |on |
expiration
tympanic |(heard/where) |- |correct |answer | |stomach, |gastric |bubble |(air |filled |space)
high-pitched, |drum |like |sound
, crackles |- |correct |answer | |heard |when |airways |open |suddenly |
discontinuous |explosive |sounds
pneumothorax |- |correct |answer | |(probs |not |on |exam) |
- |collection |of |air |outside |the |lung |but |within |the |pleural |cavity |
- |occurs |when |air |accumulates |between |teh |parietal |and |vis |eral |pleurae |inside |the |chest |
- |air |accumulation |can |apply |pressure |on |the |lung |to |make |it |collapse
pleural |effusion |- |correct |answer | |(probs |not |on |exam) |
-accumulation |of |fluid |in-between |the |parietal |and |visceral |pleura |of |the |pleural |cavity
- |can |occur |alone |or |can |be |result |of |surrounding |parenchymal |disease |like |infection, |malignancy, |or |
inflammatory |conditions
pneumonia |- |correct |answer | |(probs |not |on |exam) |
- |an |infection |that |inflames |the |air |sacs |in |one |or |both |lungs |
- |air |sacs |may |fill |with |fluid |or |pus |(purulent |material), |causing |cough |with |phlegm |or |pus, |fever, |
chills, |and |difficulty |breathing |
- |variety |of |organisms |(including |bacteria) |viruses |and |fungi |can |cause |pneumonia
atelectasis |- |correct |answer | |(probs |not |on |exam) |
- |collapse |of |part |or |all |of |lung |
- |caused |by |blockage |of |air |passages |(bronchus |or |bronchioles) |or |by |pressure |on |the |lung |
- |risk |factors: |anesthesia, |prolonged |bed |rest |with |few |position |changes, |shallow |breathing |, |
underlying |lung |disease
pleural |friction |- |correct |answer | |(probs |not |on |exam) |
- |adventitious |breath |sound |heard |on |auscultation |of |the |lung |
- |sound |results |from |movement |of |inflamed |and |roughened |pleural |surfaces |against |on |each |another |
during |movement |of |chest |wall
| | | | | | | |
inacurate |bp |reading |false |ELEVATED |- |correct |answer | |cuff |elevated |too |slow, |crossed |legs, |pt |is |
angry/anxious, |arm |below |level |of |heart, |cuff |too |tight
inacurate |bp |reading |false |DECREASED |- |correct |answer | |cuff |inflated |too |high, |pushing |stethoscope |
too |hard |on |the |brachial |artery, |failing |to |palpate |the |radial |artery |before |inflation, |arm |above |heart |
level, |cuff |too |loose
Risk |factors |of |HTN |- |correct |answer | |age, |race |(black |community), |sex |(post-menopausal |women), |
stress, |obesity, |tobacco/alc |use, |diabetes
Bell |of |Stethoscope |- |correct |answer | |beLOW: |low |pitched |sounds |(heart |murmurs, |extra |heart |
sounds)
diaphram |of |stethoscope |- |correct |answer | |high |pitched |sounds |(breath |sounds, |normal |heart |sounds,
|abdominal |sounds)
Bronchial |location/heard |- |correct |answer | |tracheal |or |tubular |
location: |trachea |and |larynx
heard: |high |pitch, |long |amplitude, |insp |lower |than |exp, |harsh/hallow |tubular |quality
bronchovesicular |location/heard |- |correct |answer | |location: |over |major |bronchi |where |fewer |alveoli, |
between |scapulae, |around |upper |sternum |in |1st |or |2ns |intercostal |spaces |
heard: |moderate |pitch, |moderate |amplitude, |insp=exp, |mixed |quality
vesicular |location/heard |- |correct |answer | |location: |over |peripheral |lung |fields |where |air |flows |
through |smaller |bronchioles |and |alveoli
heard: |low |pitch, |soft |amplitude, |insp |higher |than |exp, |rustling |(sound |of |wind |in |trees)
,Wheezing |( |what |disease) |- |correct |answer | |COPD |(sibilant, |sonorous)
big |cause |is |allergies/inflammation |
last |second |of |breathing |out
Strider |(what |disease) |- |correct |answer | |Asthma, |choking |(huge |gasp) |
upper |airway, |super |closed
Crackles |(what |disease) |- |correct |answer | |Pneumonia |(fine |or |course, |atelectatic |crackles) |
too |much |fluid
bronchi- |bacterial/mucous |build |up |-changes |with |cough
pleural |rub |(what |disease) |- |correct |answer | |irritation/inflammation |between |organs
Hemoptysis |(what |disease) |- |correct |answer | |coughing |up |blood |(frothy |blood)
Resonance |(heard/where) |- |correct |answer | |air |(lungs), |medium |to |loud, |clear/hallow |sound |moderate
|in |duration
hyperresonance
dullness |(heard/where) |- |correct |answer | |fluid |or |solid |organs |(liver) |
soft, |muffled, |thud-like |ton
bruit |- |correct |answer | |heard |over |blood |vessels, |abnormal |sounds, |indicates |turbulent |blood |flow
wheezes |- |correct |answer | |obstruction |in |bronchioles/lower |trachea, |high |pitch |sounds |heard |on |
expiration
tympanic |(heard/where) |- |correct |answer | |stomach, |gastric |bubble |(air |filled |space)
high-pitched, |drum |like |sound
, crackles |- |correct |answer | |heard |when |airways |open |suddenly |
discontinuous |explosive |sounds
pneumothorax |- |correct |answer | |(probs |not |on |exam) |
- |collection |of |air |outside |the |lung |but |within |the |pleural |cavity |
- |occurs |when |air |accumulates |between |teh |parietal |and |vis |eral |pleurae |inside |the |chest |
- |air |accumulation |can |apply |pressure |on |the |lung |to |make |it |collapse
pleural |effusion |- |correct |answer | |(probs |not |on |exam) |
-accumulation |of |fluid |in-between |the |parietal |and |visceral |pleura |of |the |pleural |cavity
- |can |occur |alone |or |can |be |result |of |surrounding |parenchymal |disease |like |infection, |malignancy, |or |
inflammatory |conditions
pneumonia |- |correct |answer | |(probs |not |on |exam) |
- |an |infection |that |inflames |the |air |sacs |in |one |or |both |lungs |
- |air |sacs |may |fill |with |fluid |or |pus |(purulent |material), |causing |cough |with |phlegm |or |pus, |fever, |
chills, |and |difficulty |breathing |
- |variety |of |organisms |(including |bacteria) |viruses |and |fungi |can |cause |pneumonia
atelectasis |- |correct |answer | |(probs |not |on |exam) |
- |collapse |of |part |or |all |of |lung |
- |caused |by |blockage |of |air |passages |(bronchus |or |bronchioles) |or |by |pressure |on |the |lung |
- |risk |factors: |anesthesia, |prolonged |bed |rest |with |few |position |changes, |shallow |breathing |, |
underlying |lung |disease
pleural |friction |- |correct |answer | |(probs |not |on |exam) |
- |adventitious |breath |sound |heard |on |auscultation |of |the |lung |
- |sound |results |from |movement |of |inflamed |and |roughened |pleural |surfaces |against |on |each |another |
during |movement |of |chest |wall
