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FULL REVIEW CRT/RRT (NBRC) STUDY GUIDE SOLUTIONS $13.49   Add to cart

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FULL REVIEW CRT/RRT (NBRC) STUDY GUIDE SOLUTIONS

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FULL REVIEW CRT/RRT (NBRC) STUDY GUIDE SOLUTIONS Ascites - ANSWER-accumulation of fluid in the abdomen caused by LIVER FAILURE Venous distention - ANSWER--occurs with CHF -seen with obstructive patients (seen in exhalation phase) Capillary refill - ANSWER--indication of peripheral circulation ...

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  • November 11, 2024
  • 62
  • 2024/2025
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FULL REVIEW CRT/RRT (NBRC) STUDY

GUIDE SOLUTIONS


Ascites - ANSWER✔✔-accumulation of fluid in the abdomen caused by LIVER FAILURE


Venous distention - ANSWER✔✔--occurs with CHF


-seen with obstructive patients (seen in exhalation phase)


Capillary refill - ANSWER✔✔--indication of peripheral circulation


-Normal < 3 seconds


Jaundice skin color - ANSWER✔✔--increase in bilirubin.


-mostly in face and trunk


Bradypnea (oligopnea) - ANSWER✔✔--decreased respiratory rate (<12bpm) variable depth and irregular

rhythm


Hyperpnea - ANSWER✔✔--increased rate, depth, with regular rhythm


Cheyne-Stokes - ANSWER✔✔--gradually increasing then decreasing rate and depth in a cycle lasting from

30 - 180 secs, with apnea up to 60 secs




-increased ICP, meningitis, overdose


Biots - ANSWER✔✔--increased rate and depth with irregular periods of apnea


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-CNS problem, head/brain injury


Kussmaul's - ANSWER✔✔--increased rate, depth, irregular rhythm, breathing sounds labored


-Raspy voice


Apneustic - ANSWER✔✔-prolonged gasping inspiration followed by extremely short, insufficient

expiration




-respiratory center problems, trauma, tumor


cachectic - ANSWER✔✔-muscle atrophy/loss of muscle tone


retractions - ANSWER✔✔--chest moves inward during inspiratory efforts instead of outward


-blocked airway in adults = INTUBATE


-RDS in infants


Character of cough - ANSWER✔✔--dry, non-productive cough may indicate tumor in the lungs or asthma


-productive cough may indicate infection


evidence of difficult airway - ANSWER✔✔--short receding mandible (chin)


-enlarged tongue (macroglossia)


-bull neck


-limited neck range-of-motion




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pulsus paradoxus - ANSWER✔✔--pulse/blood pressure varies with respiration. may indicate severe air

trapping (status asthmaticus or cardiac tamponade)


tactile fremitus - ANSWER✔✔--vibrations felt by hand on chest wall


-vocal fremitus: voice vibrations on the chest wall


-pleural rub fremitus: grating sensation due to roughened pleural spaces


-Rhonchial fremitus(palpable rhonchi): secretions in airways


Crepitus - ANSWER✔✔--bubbles of air under skin that can be palpated and indicates subcutaneous

emphysema


Resonant percussion - ANSWER✔✔--hollow sound


-normal lungs


Flat percussion - ANSWER✔✔--heard over sternum, muscles, or areas of atelectasis


Dull percussion - ANSWER✔✔--heard over fluid-filled organs such as heart or liver (thudding)


-pleural effusion or pneumonia


Tympanic percussion - ANSWER✔✔--heard over air-filled stomach.


-drum-like sound and when heard over lung = increased volume


Hyperresonant - ANSWER✔✔--found where pneumothorax or emphysema is present.


-booming sound


vesicular breath sounds - ANSWER✔✔-normal sounds in lungs




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bronchial breath sounds - ANSWER✔✔--normal sounds over airways.


-breath sounds over lungs indicate LUNG CONSOLIDATION


Egophony - ANSWER✔✔--patient instructed to say E and sounds like A.


-lung consolidation


Bronchophony / whisphered pectoriloquy - ANSWER✔✔--increased intensity or transmission of the

spoken voice and indicate CONSOLIDATION or PNEUMONIA


-increase in spoken voice = consolidation


-decrease in spoken voice = obstructon, pneumo, emphysema


Rales - ANSWER✔✔--crackles


-secretions/fluid


Coarse rales - ANSWER✔✔--rhonchi


-LARGE airway secretions


-needs suctioning


medium rales - ANSWER✔✔--middle airway secretions


-needs CPT


Fine rales - ANSWER✔✔--fluid in alveoli


-CHF, pulmonary edema


-IPPB, heart drugs, diuretics and O2



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