NSG 6020 Midterm Question and CERTIFIED CORRECT answers 2023/2024

NSG 6020 Midterm Question and CERTIFIED CORRECT answers 2023/2024 What age does bronchiolitis occur? - correct answers most common at age 6 months- does not occur after age 2 main symptom of bronchiolitis - correct answers wheezing-lasts about 7 days most common cause of bronchiolitis - correct answers RSV Treatment for bronchiolitis - correct answers No specific treatment Order of lung exam - correct answers inspect, palpate, percuss, auscultate Pectus Excavatum - correct answers congenital posterior displacement of lower aspect of sternum -hollowed-out appearance -concave appearance of lower sternum Pectus carinatum - correct answers at birth -post CABG mid childhood and 11-14 year old pubertal males undergoing a growth spurt -convex deformity -97% have MVP Barrel Chest - correct answers associated with emphysema and lung hyperinflation -accompanying x-ray demonstrates increased ant-post diameter as well as diaphragmatic flattening Tactile fremitus - correct answers palpable vibrations of the bronchiopulmonary tree as the patient is speaking (99 or 1-2-3) -impeded in COPD, pulm effusion or pneumothorax -increased in consolidation and PNA percussion: flatness - correct answers (thigh) Large Pleural effusion Percussion- dullness - correct answers (liver) Lobar PNA Percussion: resonance - correct answers (Lung) simple chronic bronchitis Percussion: hyperresonance - correct answers None -emphysema, pneumothorax Percussion: tympany - correct answers (gastric bubble) -large pneumothorax Auscultation: vesicular - correct answers soft and low pitched; usually heard over most of both lungs Auscultation: bronchial - correct answers louder and higher in pitch; usually heard over the manubrium Auscultation: bronchovesicular - correct answers intermediate intensity and pitch; usually heard over the 1st and 2nd interspaces Auscultation: tracheal - correct answers over the trachea and neck, very loud Rhonchi - correct answers low-pitched snore-like sounds, often characterized by secretions w/in the large airways -sometimes cleared with a cough