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NR302 Exam 3 Study Guide / NR 302 Exam 3 Study Guide (Latest-2021): Chamberlain College of Nursing $15.49   Add to cart

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NR302 Exam 3 Study Guide / NR 302 Exam 3 Study Guide (Latest-2021): Chamberlain College of Nursing

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NR302 Exam 3 Study Guide / NR 302 Exam 3 Study Guide (Latest-2021): Chamberlain College of Nursing

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  • October 18, 2021
  • 25
  • 2021/2022
  • Exam (elaborations)
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1

,  CVA tenderness- kidney problems

References Lines – anterior, posterior, and lateral thorax

 Anterior- sternal, midclavicular, anterior axillary

 Posterior- vertebral, scapular, posterior axillary

 Lateral- anterior axillary, midaxillary, posterior axillary

Lobes (3 on right, 2 on left), apex versus base

 Right- upper, middle, lower lobes

 Left- upper, lower lobes

 Apex (highest point) anterior and 3-4 cm above clavicle

 Base (lower border)

Pediatric (AP:Transverse diameter, abdominal breathing, role of surfactant)

 AP: transverse 1:1 ratio

 Abdominal breathing until 5-7 yrs

Pregnant (Diaphragmatic breathing, SOB, costal angle changes, lordosis)

 Muscles and cartilage of the ribs relaxes

o Diaphragm rises into chest to accommodate fetus

o Diaphragmatic breathing

o Shortness of breath (SOB), dyspnea, increase awareness of breathing in last trimester

 Total oxygen demand can increase 20%

 Costal angle widens

 Deeper breathing, respiratory rate unchanged

 Lordosis or swayback, “waddling” gait


Geriatric (overall aging changes to respiratory rate and depth, vital capacity, alveoli); cough ability, kyphosis

,  Aging lung is more rigid, harder to inflate

o Decrease vital capacity, increased residual volume

o Decreased number of alveoli

o Decreased in respiratory depth

o Slight increase in respiratory rate

 Decrease in cough ability

o Weakening of the chest muscles, decrease cilia

o Compromises airway clearance

 Kyphosis “hunchback”


Subjective

Cough – differences between acute versus chronic; time of day; productive versus non-productive; color

of phlegm or sputum; descriptions and meaning; associated symptoms; possible treatments

 Acute (lasts 2 or 3 weeks), chronic (over 2 months)

 Often? Time of day?

o Continuous – acute illness, respiratory infection

o Afternoon/evening – may irritants at work

o Night – postnasal drip

o Early morning – chronic bronchial inflammation, smokers

 Productive or non-productive? Phlegm or sputum?

o Hemoptysis (blood), frank blood versus streaks of blood

o White or clear – colds, bronchitis, viral infections

o Yellow or green – bacterial infections

o Rust colored – TB, pneumonia

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