Normal respiratory assessment findings - ANSWERS-percussion: resonant
trachea: midline
BS: vesicular. bronchovesicular and bonchial over large bronchi and trachea.
normal tactile fremitus and transmitted voice sounds
Left sided HF respiratory assessment findings - ANSWERS-percussion: resonant
trachea: midline
BS: vesicular
adventitious: late inspiratory crackles in dependent part of lunch; possible
wheeze
normal voice sounds and tactile fremitus.
, Partial Lobar Obstruction (atelectasis) - ANSWERS-percussion: dull over airless
area
trachea shifts TOWARD involved side
Absent breath sounds with bonchial plug except when its a right upper lobe
atelectasis with adjacent tracheal breath sounds transmitted.
no adventitious sounds.
tactile fremitis is absent if bronchial plus, but tactile fremitus and voice sounds
might be increased if it's right upper lobe atelectasis.
atelectasis= - ANSWERS-lobar obstruction from mucus, foreign object ,or organ
pressing on lobe. alveoli collapse. has NO ADVENTITIOUS BREATH SOUNDS.
Pleural Effusion respiratory assessment - ANSWERS-percussion: dull over the fluid
trachea shifts AWAY from effusion if large
BS: decreased to absent. or bronchial sounds over top of effusion.
no extra BS but maybe a pleural rub.
decreased or absent tactile fremitus, but could be increased at top of large
effusion
pneumothorax respiratory assessment - ANSWERS-percussion: hyperresonant or
tympany over pleural air.
trachea shifts away from tension PTX
BS: decreased or absent over the PTX
no extra BS, but many a pleural rub
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