NUR 206 EXAM 3 ACTUAL EXAM NEWEST
COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
what does the thorax consist of? - ANSWERthe heart and the lungs
what are the anatomical landmarks for the thorax, where are they? -
ANSWERmidesternal line
midclavicular line
anterior axiallary line
anterior axillary line
midaxillary line
posterior axillary line
where is the first rib located? - ANSWERunder the clavicle- you cant feel it
Each rib number corresponds to its _______ below it - ANSWERICS- intercostal space
when performing a problem focused health history, what should you use? -
ANSWEROLDCARTS
onset, location, duration, characteristics, aggravating and alleviating factors, related
symptoms, treatment, severity
when doing a problem-focused health history for the thorax, what should you look for? -
ANSWER-chest pain
-edema/ swelling of extremities
-shortness of breath
-cough
-risk factors for hypertension and coronary artery disease
what kind of questions should you ask for a problem-focused health history related to
chest pain? - ANSWERHow long have you had chest pain in your chest when you
breathe? When did it start? Did it start suddenly or gradually? Where do you feel it?
Does it radiate to other areas such as neck or arms?
How does the pain feel (viselike, tight, sharp, burning?), on a scale of 0-10 how would
you rate the intensity of the pain? Is it constant or does it come and go?
,When it started, was the pain associated with an injury to your ribs or respiratory
infection? Does it interfere with your getting enough air?
Is there anything that seems to make the pain worse such as movement or coughing? Is
it worse with deep inspiration?
Is there anything that seems to alleviate the pain such as putting external pressure over
the site of pain or applying heat?
Have you done anything to treat the pain such as taking pain medication? Have any
measures been effective?
what kind of questions should you ask for a problem-focused health history related to
edema? - ANSWEROLDCARTS
when did it start, suddenly or gradually
how does the pain feel
how long does it last
any related symptoms
alleviating or aggravating factors?
what kind of questions should you ask for a problem-focused health history related to
shortness of breath? - ANSWERHow long have you had shortness of breath? Is the
onset sudden or gradual? Are you short of breath all the time, or does it come and go?
Does anything seem to trigger these episodes or make the shortness of breath worse
such as activity or environmental factors? Do they occur when you are lying flat, such
as during sleep?
What relieves the shortness of breath? How many pillows do you use to prop behind
you? Do you sleep in a recliner? Does changing you position affect the problem?
Have you noticed any other problems when you're short of breath? Cough? Chest pain?
Breaking out in a sweat? Swelling of the feet, ankles, or legs?
When these episodes of shortness of breath occur, what do you do to relieve the
symptom?
what kind of questions should you ask for a problem-focused health history related to
cough? - ANSWERWhen did you first notice the cough? Is it consistent or does it come
and go?
Describe your cough. Is it dry? Productive? Hacking? Hoarse?
,How often do you cough up sputum? (all of the time or periodically)? How much sputum
do you cough up?
What is the color of sputum?
What is the consistency of the sputum?
Have you noticed if sputum has an odor?
Are there any factors that aggravate the cough?
What alleviates the cough?
Have you noticed any other accompanying the cough such as shortness of breath,
chest pain, or tightness with breathing, fever, stuffy nose, noisy respiration, hoarseness,
or gagging? Does the cough tire you out? Does it keep you awake at night?
What have you done to treat the cough such as medications, fluids, or a vaporizer?
Have these measures been effective?
a cough can be ____ or _____ - ANSWERacute or chronic
common causes of an acute cough... - ANSWERviral infections, allergic rhinitis, acute
asthma, acute bacterial sinusitis, or environmental irritants
common causes of a chronic cough... - ANSWERpostnasal drip, gastroesophageal
reflux disease (GERD), asthma, infections
what kind of cough do you usually have with bacterial pneumonia? -
ANSWERproductive cough
what kind of cough do you usually have with viral pneumonia? - ANSWERdry cough
amount, frequency, and time of day of sputum from a cough should be explored -
ANSWERIncreased sputum in morning implies accumulation of sputum during the night
and is common with bronchitis
Sputum production with a change in position suggests lung abscess and bronchiectasis
Amount can vary from a few teaspoons to a copious amount (a pint or more)
what do the different colors of sputum mean? (documenting appearance is important)
white/clear
yellow/green
black
rust
blood - ANSWERwhite/ clear= colds, viral infections, bronchitis
, yellow/green=bacterial infections
black= smoke, coal, or dust inhalation
rust color= tuberculoses, pneumococcal pneumonia
HEMOPTYSIS= expectoration of sputum containing blood
different sputum consistancies... - ANSWERthick, thin, gelatinous, sticky, frothy
foul smelling sputum can be associated with...? - ANSWERbacterial pneumonia
lung abscesses
bronchiectasis
what kinds of things can alleviate a cough? - ANSWERstaying hydrated, warm liquids,
increased humidity
what are some common risk factors for hypertension and coronary artery disease? -
ANSWERhypertension, high blood choloestrol, smoking, obesity, physical inactivity
what is the purpose of the respiratory system? - ANSWERprovide oxygen
remove carbon dioxide
gases diffuse from a ______ concentration to a ______ concentration - ANSWERhigher
to lower
how many ribs/ thoracic vertebra do we have? - ANSWER12 pairs (24 total)
how many of our ribs are connected the the sternum? - ANSWER7
what are the spaces between each rib called? - ANSWERintercostal spaces
where are the 11th and 12th ribs located? - ANSWERposteriorly (from spine)
floating ribs
where are intercostal muscles located? what do they do? - ANSWERlocated in the
intercostal spaces.
they cause expansion and contraction of the rib cage during breathing along with the
diagphragm
where is the apex of the lungs? - ANSWERthe top of the lungs
(apex of heart is on bottom)
where is the base of the lungs? - ANSWERthe bottom
