NUR 2180 Physical Assessment Quiz
1. Where Respiratory
can bronchial sounds be heard?: Over the trachea. It is loud,
harsh, and usually upon expiration
2. What type of adventitious sound is created by narrowing of the bronchi?
-
Wheezes
3. ·What does a rhonchi finding represent?: There is inflammation in the
lung due to an obstruction or other cause. Common in patients with
COPD, bronchitis, pneumonia or cystic fibrosis
4. What is tactile fremitus?: palpable vibrations transmitted through
the bron- chopulmonary tree to the chest wall as the patient is
speaking
5. What does tactile fremitus assess: The amount of air in the lungs, lung
tissue density and fluid consolidation in the lungs.
6. How to perform tactile fremitus: Palpate chest while PT says "ninety
nine"
7. Know why side-to-side pattern is used during a respiratory assessment:
-
Assesses for symmetry among the lung fields
8. crackles: rice Krispy sound or pop rocks. Course or fine and it is from
increased fluid in the lungs.
9. stridor: high pitched crowing noise from upper airway obstruction or
an allergic reaction
10.wheeze: high pitched musical sound seen with an asthma attack
11.rhonchi: Coarse, low-pitched breath sounds heard in patients
with chronic mucus in the upper airways. Snore like
12.Places to assess lung sounds: 6-8 spots on front, 4 spots in the side,
8-10 on back
13.Tracheal breath sounds: Breath sounds heard by placing the
stethoscope diaphragm over the trachea or sternum; also called
bronchial breath sounds
14.Bronchiovesicular breath sounds: medium-pitched, moderately loud
sounds heard over the mainstem bronchi; inspiration = expiration
15.vesicular breath sounds: soft, fine, breezy, low-pitched sounds
heard over peripheral lower lung tissue
16.The right lung has: 3 lobes
17.The left lung has: 2 lobes
18.What does thoracic expansion assess: How well the lungs are able to
expand when breathing in and out
19.How to perform thoracic expansion: You place your hands and watch
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