NUR 634- Exam #2 Questions with complete Solutions
Which lobes of the lung will be heard anteriorly? Correct Answer--Right
Upper Lung
-Right Middle Lung
-Right Lower Lung
-Left Upper Lung
-Left Lower Lung
Which lobes of the lung will be heard posteriorly? Correct Answer--
Right Upper Lung
-Right Lower Lung
-Left Upper Lung
-Left Lower Lung
Which lobes of the lung will be heard laterally - right? Correct Answer--
Right Upper Lung
-Right Middle Lung
-Right Lower Lung
Which lobes of the lung will be heard laterally - left? Correct Answer--
Left Upper Lung
-Left Lower Lung Possible causes of chest pain? Correct Answer--Anxiety/panic disorders
-Costochondritis
Cardiovascular:
-Heart attack
-Pericarditis or myocarditis
Respiratory:
-Bronchitis
-Pneumonia
Abdominal:
-GERD
Chest S/S that indicate a cardiovascular problem Correct Answer--
Exertional chest pain
-Orthopnea (SOB when supine) / paroxysmal nocturnal dyspnea (relieved by sitting up)
-Palpitations
-Edema How to assess for dyspnea? Correct Answer-Ask the patient "Have you had difficulty breathing?"
How to assess for degree of severity of dyspnea? Correct Answer-
Determine its effect on patient's ADLs
Possible causes of shortness of breath? Correct Answer--Anxiety
-Activity
Possible causes of cough? Correct Answer--Irritating stimuli (ex. mucus,
allergens, dust, foreign bodies)
-Inflammation
-Compression of bronchioles from tumor, enlarged lymph nodes, or pulmonary edema
-Left-sided heart failure
Specific possible causes of chronic cough Correct Answer--GERD
-Postnasal drip
-Bronchiectasis
Bronchiectasis (define) Correct Answer-Reversible dilatation of the bronchi where the elastic and muscular tissue is destroyed by inflammation and infection. This damage impairs the natural drainage of
bronchial secretions which can become chronically infected Possible causes of hemoptysis Correct Answer--Bronchitis
-Cystic fibrosis
-Bronchiectasis
-Malignancy
How to differentiate if coughed up blood is coming from the stomach or the respiratory tract? Correct Answer-Blood from the stomach is usually darker than blood from the respiratory tract
Most common cause of acute cough Correct Answer-**Viral upper respiratory infection**
~Acute = < 3 weeks~
Acute coronary syndromes (S/S) Correct Answer--Chest pain
-Dyspnea / orthopnea
Pneumonia (S/S) Correct Answer--Fever
-Productive cough
How to differentiate between bacterial and viral infections in pneumonia? Correct Answer-**Bacterial pneumonia = purulent sputum (yellow or green)
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