NR 509 / NR509 Advanced Physical Assessment
Midterm Review
1. key components of COPD classification and management
. degree of dyspnea combined
... [Show More] with spirometry
2. Anxious patients may have episodic dyspnea during
. both rest and exercise and also hyperventilation, or rapid shallow breathing
3. Wheezing occurs in
. partial lower airway obstruction from secretions and tissue inflammation in asthma, or from a foreign body
4. wheezes
. musical respiratory sounds that may be audible to the patient and to others
5. Cough can signal _____-sided heart failure.
. Left
6. most common cause of acute cough
. viral upper respiratory infections
7. chronic cough is seen in
. postnasal drip, asthma, gastroesophageal reflux, chronic bronchitis, bronchiectasis
8. Mucoid sputum is described as and is seen in
. translucent, white, gray
. viral infections and cystic fibrosis
9. purulent sputum indicates
. bacterial pna
10. Foul-smelling sputum is present in
. anaerobic lung abscess, thick tenacious sputum in cystic fibrosis
11. Large volumes of purulent sputum are present in
. bronchiectasis or lung abscess
12. acute coronary syndrome diagnostically helpful symptoms
. chest pain
. dyspnea
. orthopnea
13. respiratory distress s/s
. tachypnea (>25)
. cyanosis or pallor
. stridor
. diaphoresis
. contraction of accessory muscles of neck, intercostal region, or abdominal contraction
14. Daytime sleepiness and snoring are hallmarks of
. obstructive sleep apnea
15. during inspection of chest
. look for use of accessory muscle
. look for symmetry
16. during palpitation of the chest check
. chest expansion
. crepitus
. fremitus(normal vibrations)
17. during percussion of the chest over lungs what is normal
. tympanic
18. during percussion of the chest over lungs what indicates air trapping in the lungs and what is it seen in
. hyper resonance
. COPD and asthma
19. during percussion of the chest over lungs what indicates fluid in the lungs and what is it seen in
. dullness
. pna
. interstitial lung disease
. pleural effusions
20. egophony
. A test of decreased breath sounds performed by placing the diaphragm of the stethoscope over the area in question while the patient says "ee"; an "ay" sound indicates lung consolidation [Show Less]