Exam (elaborations)
Maryville NURS 612 Exam 2 Questions With Complete Solutions.
- Course
- NUR 612
- Institution
- Maryville University Of St. Louis
Maryville NURS 612 Exam 2 Questions With Complete Solutions.
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Maryville NURS 612 Exam 2 Questions WithComplete Solutions
inspect the chest correct answer: without clothes on; 1st assess
shape and size; 2nd check for symmetry; 3rd thoracic
landmarks; 4th color of skin; 5th check for supernumerary
nipples; 6th superficial venous patterns; and 7th observe for rib
prominence
thoracic landmarks correct answer: midline trachea, costal
angle, angle of ribs, intercostal spaces, suprasternal notch
symmetry of chest correct answer: thoracic expansion at costal
angle, w/o use of accessory muscles
hx questions for cc of resp issue correct answer: What is the
nature of your cough?; Do you produce any sputum?; Is your
cough related to activity?; What position are you most
comfortable in?; How many pillows do you sleep with at night?;
Is your SOB related to activity?
normal respirations correct answer: rate between 12 to 20/min;
ratio of resp to heart beats= 1:4; pt should breathe easily,
regularly w/o apparent distress; pattern should be even, not too
shallow or too deep
hypopnea correct answer: term for abnormally shallow
respirations
, tachypnea correct answer: term for resp rate greater than 20, but
consistent and may occur during hyperventilation; often a
symptom of pain
bradypnea correct answer: term for resp rate less than 12; may
indicate neurologic or electrolyte disturbances, infection, or
conscious response to protect against the pain of pleurisy or
other irritative pneumonia. Can also be 2/2 level of cardio
fitness
hyperventilation correct answer: term for fast and deep, heavy
respirations, can be caused by exercise, anxiety, and CNS and
metabolic diseases
hyperpnea correct answer: term for abnormally deep
respirations
kussmaul respirations correct answer: deep and mostly rapid
respirations, used to describe resp effort of metabolic acidosis
cheyne stokes respirations correct answer: regular breathing
with intervals of apnea by crescendo decrescendo breathing; can
be seen in sleeping pts, but mostly pts who are very ill, esp with
brain damage
biot respirations correct answer: irregular breathing that varies
in depth and is interrupted irregularly by intervals of apnea;
associated with severe and persistent increased intracranial
pressure, resp compromise from drug poisoning, or brain
damage at the medulla and generally equals poor prognosis
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