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NUR 216 Exam 3; COMPLEHENSIVE GUIDE 2024 A+ GRADED
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NUR 216 Exam 3; COMPLEHENSIVE GUIDE 2024 A+ GRADED
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NUR 216 Exam 3;COMPLEHENSIVE GUIDE 2024 A+
GRADED
What does ICOUGH stand for? - //Incentive Spirometry
Cough
Oral care
Understanding (patient)
Get out of bed
Head of bed elevated
How to find first intercostal space? - //Ask patient to flex head.
Bony protrusion at base of neck is C7. Vertebra below C7 is T1 (rib
one)
Which lobes are auscultated on the anterior chest? - //Upper (and
right middle) lobes
Which lobes are auscultated on the posterior chest? - //Lower
lobes
What is it called if the pleura is filled with fluid? - //Pleural effusion
What are the interventions for hyperventilation? - //- Raise head of
bed
, - Help client relax
- Paper bag breathing if needed
- Find the cause
Respiratory changes in older adult? - //- Lung structure more rigid
- Thorax less able to expand
- Decreased number of alveoli
- Less effective ciliary elevator
- Lowered cough reflex
Overall, a lesser surface area for gas exchange and an increased
risk of infection
What are some causes of tachypnea? - //Anxiety, smoking, illness,
anemia
What are some causes of bradypnea? - //Opioids, respiratory
muscle fatigue, sedatives
What is the normal range for SpO2? - //95-100% (report <90% to
doctor)
What aspects of respiration should be inspected? - //Rate, rhythm,
depth, pattern, accessory muscle use
Where should your thumbs lie when palpating symmetrical chest
expansion? - //T9/T10
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