Exam (elaborations)
NUR 216 EXAM 3 QUESTIONS WITH CORRECT ANSWERS
- Course
- Institution
NUR 216 EXAM 3 QUESTIONS WITH CORRECT ANSWERS
[Show more]
Content preview
NUR 216 EXAM 3 QUESTIONS WITH CORRECT ANSWERS1.Inspect and auscultate anterior chest: Assess with the client sitting,
c c c c c c c c c
lying, or standing
c c c
Inspect and auscultate the anterior chest
c c c c c
Assess for shape and symmetry of the chest wall
c c c c c c c c
Identify tachypnea, bradypnea, and
c c c
chypoventilation Vertical chest landmarks c c c
Anterior thorax- along the midclavicular lines, bilaterally, asses for
c c c c c c c c
accessory muscle use
c c c
Maximize sounds by-Have the client take deep breaths with an open
c c c c c c c c c c
mouth each time you move the stethoscope
c c c c c c c
Place diaphragm directly on the skin
c c c c c
2.Vertical chest landmarks: Midsternal line- through the center of the
c c c c c c c c c
sternum Midclavicular line- through the midpoint of the clavicle
c c c c c c c c c
Anterior axillary line- through the apex of the
c c c c c c c
axillae Posterior axillary line- through the
c c c c c c
posterior axillary fold
c c c
Right and left scapular lines- through the inferior angle of the scapula
c c c c c c c c c c c
Vertebral line-along the center of the spine
c c c c c c c
3.Inspect and auscultate posterior chest: Identify shape and symmetry
c c c c c c c c
of the chest wall
c c c c
Retractions
Posterior thorax while sitting or c c c c
c standing Percussion and c c
c auscultation sites c
Between the scapula and the vertebrae of the
c c c c c c c
back, below the scapula along the right and left
c c c c c c c c c
scapula line
c c
4.Ventilation vs diffusion: Ventilation- exchange of O2 and CO2 in the
c c c c c c c c c c
1 c/
c20
, c lungs
Diffusion- exchange of O2 and CO2 between alveoli and RBC, hypoxemia i
c c c c c c c c c c c
not enough
c c
5.Overall chest inspection: Shape- the anteroposterior diameter is one
c c c c c c c c
third to one half of the transverse diam
c c c c c c c c
2 c/
c20
, Symmetry- the chest is symmetric with no deformities of the ribs,
c c c c c c c c c c
sternum, scapula or vertebrae, and equal movements during respiration
c c c c c c c c c
ICS- no excessive retractions
c c c
Respiratory effort
c c
6.Respiratory effort evaluation: Between 12-20 breaths per c c c c c c
c min Character of breathing- diaphragmatic, abdominal
c c c c c
c and thoracic Use of accessory muscle
c c c c c
Chest wall expansion
c c
Depth of respirations-unlabored, quiet breathing
c c c c
Cough- if productive, not the color and
c c c c c c
consistency Trachea- midline
c c c
7.Thorax percussion: Compare both sides to each other
c c c c c c c
Unexpected findings c
Dullness- in fluid or solid tissue, this can indicate pneumonia or a tumor
c c c c c c c c c c c c
Hyperresonance- in the presence of air, this can indicate pneumothorax
c c c c c c c c c c
or emphy- sema
c c c
8.Respiratory Auscultation expected sounds: Eupnea, bronchial, c c c c c
bronchovesic- ular, vesicular
c c c
9.respiratory auscultation unexpected sounds: crackles/rales, wheezes,
c c c c c
ronchi, pleural friction rub, stridor, apnea
c c c c c c
10.eupnea: normal breathing c c
11.bronchial: loud, high pitched, hollow quality, expiration longer than
c c c c c c c c
inspiration over the trachea
c c c c
12.Bronchovesicular: medium pitch, blowing sounds and intensity with c c c c c c c
equal in- spiration and expiration times over the larger airways
c c c c c c c c c c
13.Vesicular: soft, low-pitched breezy sounds,inspiration three times
c c c c c c
longer than expiration over most peripheral areas of the lungs
c c c c c c c c c c
14.crackles (rales): fine to coarse bubbly sounds (not cleared with
c c c c c c c c c
coughing) as air passes through fluid or re-expands collapses small
c c c c c c c c c c
airways
c
3 c/
c20
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Constantina. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79271 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now