NR302 Final Exam Study Guide: Health Assessment I: Chamberlain College of Nursing
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Chamberlain University
NR 302 Health Assessment Final Exam Study Guide / NR302 Final Exam Study Guide: Health Assessment I: Chamberlain College of Nursing
Thorax and Lungs
-What data can be gathered on a patient in respiratory distress from general survey only?
-Do they use accessory muscles when breathing? Positi...
nr 302 health assessment final exam study guide nr302 final exam study guide health assessment i chamberlain college of nursing thorax and lungs what data can be gathered on a patient in respi
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NR302 Final Exam Study Guide: Health Assessment I: Chamberlain College of Nursing
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NR 302 Health Assessment Final Exam Study Guide / NR302 Final Exam Study Guide:
Health Assessment I: Chamberlain College of Nursing
Thorax and Lungs
-What data can be gathered on a patient in respiratory distress from general survey only?
-Do they use accessory muscles when breathing? Position-tripod, Barrel chest, Nasal flaring,
color
-Structure and Function: The thorax
-Thoracic cage
-Sternum, 12 pairs of ribs
-12 thoracic vertebrae
-Muscles and cartilage
-Thoracic Cavity
-Mediastinium
-Pleural cavity
-Lung (Apex and base)
Structure and Function: Pleural Membranes
-Parietal pleura-lines the whole cavity
-Visceral pleura-lines the organs
-Pleural space/cavity-both above total
,Structure and Function: The respiratory system
-Trachea
-Bronchi
-Bronchioles
-Alveolar Sacs
-Alveoli
Landmarks-Visualize what you cannot see!
-Anterior chest
-Suprasternal notch “U shaped”
-Sternum
-Sternal angle (Angle of Louis) continuous with 2nd rib
1. Multiple the number of cigarettes smoked per day by number of years smoked
2. Divide by 20
i.e 10 cigarettes smoked per day x 10 years / 20 = 5 pack years
Objective Data
-Inspection of patient: Resp. rate & effort to breathe (Nasal flaring, accessory muscles,
positioning) skin color, nails, configuration of chest (Chest deformities)
-Palpation of anterior and posterior chest: Tenderness, lumps, crepitus (Subcutaneous air-rice
krispis under skin), tactile fremitus (99), respiratory expansion
-Percussion of lung fields: Resonance, hyper-resonance, dull, diaphragmatic excursion
-Auscultation of chest: Normal, adventitious, voice sounds, measurements of pulmonary
function: For screening**Begin at the moment of contact
Normal breath sounds
-Bronchial (Tracheal) –Over trachea & larynx E>1
-Bronchovesicular—Over major bronchi I=E
-Vesicular—over peripheral lung fields I>E
Normal Assessment Findings
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