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Egan's Chapter 16 Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.
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soft tissue sucking in around ribs and neck when a patient has severe distress - ️️retractions Describe the significance of the findings of general appearance of sitting up, leaning with arms on table - ️️typical position for patients with obstructive lung diseases who are having troubl...

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  • September 13, 2024
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  • 2024/2025
  • Exam (elaborations)
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Egan's Chapter 16
soft tissue sucking in around ribs and neck when a patient has severe distress -
✔️✔️retractions

Describe the significance of the findings of general appearance of sitting up, leaning
with arms on table - ✔️✔️typical position for patients with obstructive lung diseases
who are having trouble breathing

What is the difference between mucus and sputum? - ✔️✔️Mucus is normally
produced by healthy airways. When the amount of mucus is increased and
expectorated, it is called sputum.

What information would you gather before entering the patient's room? - ✔️✔️read the
patient's medical record to determine history of present illness, chief complaint, past
medical history, family/environmental history and systems review

difficulty breathing when lying supine - ✔️✔️orthopnea

shape of thorax associated with emphysema - ✔️✔️barrel chest

chest pain typical of acute coronary syndromes - ✔️✔️angina

physical wasting associated with chronic lung disease - ✔️✔️cachexia

blood pressure that is too low - ✔️✔️shock

the sitting position that emphysema patients use when they are in trouble -
✔️✔️tripoding

drop in blood pressure on inhalation associated with asthma and hyperinflation -
✔️✔️pulsus paradoxus

inspiratory sound associated with atelectasis, pneumonia, and fibrosis - ✔️✔️crackles

upper airway sound that may indicate life-threatening obstruction - ✔️✔️stridor


dizziness associated with drop in blood pressure - ✔️✔️syncope

a rapid heart rate that may include a low blood oxygen level - ✔️✔️tachycardia

,presence of a fever - ✔️✔️febrile

difference between systolic and diastolic blood pressure - ✔️✔️pulse pressure

a slow heart rate that may result in poor perfusion of tissues - ✔️✔️bradycardia

bluish discoloration of skin often associated with hypoxemia - ✔️✔️cyanosis

heart rate auscultated in chest is different than pulse rate felt in arm - ✔️✔️pulse deficit

difficulty breathing - ✔️✔️dyspnea

sensation of suffocation - ✔️✔️breathlessness

describe how to start the ideal interview. Be sure to discuss space, privacy, and
instructions. - ✔️✔️Space: 4-12 ft to start, move closer, and try to get eye level
Privacy: use curtain if it is not a private room
Introductions: identify self, your purpose and identify patient

Which is the best approach?

A1. "Hi, Bob, good morning".
A2. "Good morning, Mr. Johnson." - ✔️✔️A2. "good morning, Mr. Johnson."

Which is the best approach?

B1. Stand at the food of the bed
B2. Sit in a chair at the bedside - ✔️✔️B2. Sit in a chair at the bedside

Which is the best approach?

C1. Make room for your notes on the bedside table
C2. Keep your clipboard on your lap - ✔️✔️C2. Keep your clipboard on your lap

Which is the best approach?

D1. "Do you need anything right now?"
D2. "I'll tell your nurse to check on you." - ✔️✔️D2. "I'll tell your nurse to check on you."

Which is the best approach?

E1. "I'll be back to see you in one hour."

, E2. "I'll return in a while to check on you." - ✔️✔️E1. "i'll be back to see you in one
hour."

Which is the best approach?

F1. "what are you coughing up?"
F2. "You didn't cough up blood, did you?" - ✔️✔️F1. "what are you coughing up?"

Which is the best approach?

G1. "I understand you don't like your breathing treatments."
G2. "Why don't you like your breathing treatments?" - ✔️✔️G1. "I understand you don't
like your breathing treatments."

Which is the best approach?

H1. "How is your breathing today?"
H2. "Is your breathing better today?" - ✔️✔️H1. "how is your breathing today?"

When are "closed" questions most useful? Give an example. - ✔️✔️Closed questions
are best when you want specific information or want to clarify something
"How much did you cough up?"

Describe the dyspnea (Borg) scale. List several reasons why this scale would be useful.
- ✔️✔️The Borg scale is useful because it quantifies the level of dyspnea. The scale
asks the patient to rate his/her dyspnea from 1 (least) - 10 (worst). Because this is
subjective symptom, the scale allows us to get valuable information and compare how a
person responds to therapists. Patient perception of difficulty breathing is valid and
useful.

How else can you identify the degree of dyspnea a patient feels? Explain the different
between dyspnea and breathlessness. - ✔️✔️Identify the level of exertion (activity)
associated with dyspnea. Dyspnea is the sensation of difficulty breathing, whereas,
breathlessness means you feel like you are not getting enough air.

Musical inspiratory and expiratory sound associated with asthma - ✔️✔️wheezes

What are the possible causes of a dry cough? - ✔️✔️restrictive: CHF, fibrosis

What are the possible causes of a loose, productive cough? - ✔️✔️Inflammation:
astma, COPD

What is the possible cause of an acute, self-limiting cough? - ✔️✔️viral respiratory
infection

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