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Flashcards in Exam 1 - ATI Deck (13)
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1
Q

a nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continous high-pitched squeaking sounds. The nurse should document this as which breath sounds?

A

Wheezes

2
Q

What are rhonchie sounds?

A

rumbling, snoring, rattling sounds resulting from fluid or mucous

3
Q

A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect the pt to have

A

Kyphosis

4
Q

What is kyphosis?

A

forward “stooping” posture with a loss of height, is an angulation of the posterior curve of the thoracic spine, usually a result of osteoporosis. It is common in older adults and increases in age.

5
Q

What is Scoliosis

A

lateral curvature of the thoracic spine, most often found in adolescents.

6
Q

What is ankylosis?

A

immobility and consolidation of a joint, often result of disuse

7
Q

What does pneumonia sound like?

A

present with crackles in the lungs due to increased secretions

8
Q

What is petechiae?

A

tiny red, flat spots that appear on your skin. They’re caused by bleeding. They sometimes appear in clusters and may look like a rash

9
Q

a nurse is assessing a client’s cardiovascular system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers?

A

the left second intercostal space - this is the location where the nurse can palpate pulsations at the pulmonic valve area. This is the site for palpating lifts and heaves in the area

10
Q

What is the conjunctivae?

A

the mucous membrane that covers the front of the eye and lines the inside of the eyelids.

11
Q

Which pulse should not be taking bilaterally at the same time?

A

carotid because this action can induce syncope by reducing blood flow to the brain and cause a reflex drop in the blood pressure and heart rate

12
Q

What do murmurs sound like?

A

loud, turbulent sounds the nurse can hear between the usual, expected heart sounds. They create a whoosing or swishing sound.

13
Q

What is the difference between systolic and diastolic murmurs

A

systolic murmurs: between S1 and S2

diastolic: between S2 and the next S1