Clin Sim

Question 1

Observation and palpation

Answer 1

• Explanation: how, what, consent and disrobe
• Preparation - feet supported, chest visible
• Technique: warnings, infection control, inspects chest, palpates chest wall ant/posterior, lateral basal movement, abdominal movement, accessory mm, check how patient feels
• Conclusions: chest wall looks good and didn’t feel anything abnormal

Question 2

Auscultation

Answer 2

• Explanation: how, what, consent and disrobe
• Preparation: feet supported, disrobe
• Technique: prep stethoscope, infection control, warnings, instructions, checks how patient feels, listen ant and post
• Conclusions: normal breath sounds

Question 3

Spirometry

Answer 3

• Explanation: how, what
• Preparation: feet supported, warnings
• Technique: clean mouthpiece, warnings, technique, encouragement, allow rest
• Conclusions: normal lung function

Question 4

Deep breathing exercises

Answer 4

• Explanation: how, what, consent
• Preparation: appropriate position
• Technique: warning, demonstrate and technique (slow, low into hands, inspiratory hold?), infection control, monitors symptoms at end
• Conclusions: frequency of exercises

Question 5

Positioning

Answer 5

• Explanation: how, what
• Preparation: setup plinth safely, contraindications/precautions, explains how to get into appropriate position
• Technique: warning, correct position for region, comfortable, assists patient, monitors patient for abnormal symptoms

Question 6

Huff

Answer 6

• Explanation: how
• Preparation: appropriate pt position, tissues ready
• Technique: warnings, technique, demonstrates, infection control, monitors patient
• Conclusions: huff when needed every

Question 7

Postural drainage

Answer 7

• Explanation: what (region), how
• Preparation: setup plinth, tissues, ci and pc, explains how to get into position
• Technique: warnings, correct position for region named, pt comfortable, assists patient, monitors patient
• Conclusions: lie in this position

Question 8

Percussions

Answer 8

• Explanation: how, demo
• Preparation: warning, tissues, ci and pc
• Technique: ensures patient comfort prior to starting, pt appropriate positioned, correct lung segment, uses towel, checks force with pt
• Conclusions: cough as needed to bring up secretions