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NSG 6020 Midterm Exam 2024 - Questions and Answers:South University $11.09
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NSG 6020 Midterm Exam 2024 - Questions and Answers:South University
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NSG 6020 Midterm Exam 2024 - Questions and Answers:South University What age does bronchiolitis occur? most common at age 6 months- does not occur after age 2 main symptom of bronchiolitis wheezing-lasts about 7 days most common cause of bronchiolitis RSV Treatment for bronchioli...

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  • May 29, 2024
  • 8
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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NSG 6020 Midterm Exam 2024 - Questions
and Answers:South University
What age does bronchiolitis occur?
most common at age 6 months- does not occur after age 2


main symptom of bronchiolitis
wheezing-lasts about 7 days


most common cause of bronchiolitis
RSV


Treatment for bronchiolitis
No specific treatment


Order of lung exam
inspect, palpate, percuss, auscultate


Pectus Excavatum
congenital posterior displacement of lower aspect of sternum
-hollowed-out appearance
-concave appearance of lower sternum


Pectus carinatum
at birth
-post CABG
mid childhood and 11-14 year old pubertal males undergoing a growth spurt
-convex deformity
-97% have MVP


Barrel Chest
associated with emphysema and lung hyperinflation
-accompanying x-ray demonstrates increased ant-post diameter as well as diaphragmatic flattening


Tactile fremitus
palpable vibrations of the bronchiopulmonary tree as the patient is speaking (99 or 1-2-3)
-impeded in COPD, pulm effusion or pneumothorax
-increased in consolidation and PNA


percussion:
flatness
(thigh)
Large Pleural effusion


Percussion- dullness
(liver)
Lobar PNA

, Percussion: resonance
(Lung)
simple chronic bronchitis


Percussion: hyperresonance
None
-emphysema, pneumothorax


Percussion: tympany
(gastric bubble)
-large pneumothorax


Auscultation: vesicular
soft and low pitched; usually heard over most of both lungs


Auscultation: bronchial
louder and higher in pitch; usually heard over the manubrium


Auscultation: bronchovesicular
intermediate intensity and pitch; usually heard over the 1st and 2nd interspaces


Auscultation: tracheal
over the trachea and neck, very loud


Rhonchi
low-pitched snore-like sounds, often characterized by secretions w/in the large airways
-sometimes cleared with a cough


Wheezes
continuous, high-pitched, musical, sounds that are produced by air flowing through narrowed bronchi
-predominately expiratory


stridor
loud, rough, continuous, high-pitched sound that is pronounced during inspiration
-indicates proximal airway obstruction


absent/attenuated sounds
NO airflow to the region being auscultated
-can occur in a pneumothorax, hemothorax, pleural effusion, or parenchymal consolidation


Crackles
intermittent, nonmusical, very brief, more pronounced during inspiration
-fine or course
fine (softer, higher in pitch)

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