Egan's Chapter 16 Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.
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Egan\'s Chapter 16
Institution
Egan\'s Chapter 16
soft tissue sucking in around ribs and neck when a patient has severe distress -
️️retractions
Describe the significance of the findings of general appearance of sitting up, leaning
with arms on table - ️️typical position for patients with obstructive lung diseases
who are having troubl...
Egan's Chapter 16
soft tissue sucking in around ribs and neck when a patient has severe distress -
✔️✔️retractions
Describe the significance of the findings of general appearance of sitting up, leaning
with arms on table - ✔️✔️typical position for patients with obstructive lung diseases
who are having trouble breathing
What is the difference between mucus and sputum? - ✔️✔️Mucus is normally
produced by healthy airways. When the amount of mucus is increased and
expectorated, it is called sputum.
What information would you gather before entering the patient's room? - ✔️✔️read the
patient's medical record to determine history of present illness, chief complaint, past
medical history, family/environmental history and systems review
difficulty breathing when lying supine - ✔️✔️orthopnea
shape of thorax associated with emphysema - ✔️✔️barrel chest
chest pain typical of acute coronary syndromes - ✔️✔️angina
physical wasting associated with chronic lung disease - ✔️✔️cachexia
blood pressure that is too low - ✔️✔️shock
the sitting position that emphysema patients use when they are in trouble -
✔️✔️tripoding
drop in blood pressure on inhalation associated with asthma and hyperinflation -
✔️✔️pulsus paradoxus
inspiratory sound associated with atelectasis, pneumonia, and fibrosis - ✔️✔️crackles
upper airway sound that may indicate life-threatening obstruction - ✔️✔️stridor
dizziness associated with drop in blood pressure - ✔️✔️syncope
a rapid heart rate that may include a low blood oxygen level - ✔️✔️tachycardia
,presence of a fever - ✔️✔️febrile
difference between systolic and diastolic blood pressure - ✔️✔️pulse pressure
a slow heart rate that may result in poor perfusion of tissues - ✔️✔️bradycardia
bluish discoloration of skin often associated with hypoxemia - ✔️✔️cyanosis
heart rate auscultated in chest is different than pulse rate felt in arm - ✔️✔️pulse deficit
difficulty breathing - ✔️✔️dyspnea
sensation of suffocation - ✔️✔️breathlessness
describe how to start the ideal interview. Be sure to discuss space, privacy, and
instructions. - ✔️✔️Space: 4-12 ft to start, move closer, and try to get eye level
Privacy: use curtain if it is not a private room
Introductions: identify self, your purpose and identify patient
Which is the best approach?
A1. "Hi, Bob, good morning".
A2. "Good morning, Mr. Johnson." - ✔️✔️A2. "good morning, Mr. Johnson."
Which is the best approach?
B1. Stand at the food of the bed
B2. Sit in a chair at the bedside - ✔️✔️B2. Sit in a chair at the bedside
Which is the best approach?
C1. Make room for your notes on the bedside table
C2. Keep your clipboard on your lap - ✔️✔️C2. Keep your clipboard on your lap
Which is the best approach?
D1. "Do you need anything right now?"
D2. "I'll tell your nurse to check on you." - ✔️✔️D2. "I'll tell your nurse to check on you."
Which is the best approach?
E1. "I'll be back to see you in one hour."
, E2. "I'll return in a while to check on you." - ✔️✔️E1. "i'll be back to see you in one
hour."
Which is the best approach?
F1. "what are you coughing up?"
F2. "You didn't cough up blood, did you?" - ✔️✔️F1. "what are you coughing up?"
Which is the best approach?
G1. "I understand you don't like your breathing treatments."
G2. "Why don't you like your breathing treatments?" - ✔️✔️G1. "I understand you don't
like your breathing treatments."
Which is the best approach?
H1. "How is your breathing today?"
H2. "Is your breathing better today?" - ✔️✔️H1. "how is your breathing today?"
When are "closed" questions most useful? Give an example. - ✔️✔️Closed questions
are best when you want specific information or want to clarify something
"How much did you cough up?"
Describe the dyspnea (Borg) scale. List several reasons why this scale would be useful.
- ✔️✔️The Borg scale is useful because it quantifies the level of dyspnea. The scale
asks the patient to rate his/her dyspnea from 1 (least) - 10 (worst). Because this is
subjective symptom, the scale allows us to get valuable information and compare how a
person responds to therapists. Patient perception of difficulty breathing is valid and
useful.
How else can you identify the degree of dyspnea a patient feels? Explain the different
between dyspnea and breathlessness. - ✔️✔️Identify the level of exertion (activity)
associated with dyspnea. Dyspnea is the sensation of difficulty breathing, whereas,
breathlessness means you feel like you are not getting enough air.
Musical inspiratory and expiratory sound associated with asthma - ✔️✔️wheezes
What are the possible causes of a dry cough? - ✔️✔️restrictive: CHF, fibrosis
What are the possible causes of a loose, productive cough? - ✔️✔️Inflammation:
astma, COPD
What is the possible cause of an acute, self-limiting cough? - ✔️✔️viral respiratory
infection
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