Rangi Shand

Question 1

Your clinical experience at a family doctors practice stats at 8am and already you notice that 17 year old Rangi is being brought up the path by his anxious-looking father and distressed mother. Rangi tells you he is normally active and healthy but for the last three days he has had a clear Nadal discharge with slight intermittent cough. Rangi was awake last night with frequent coughing and during the night he started wheezing

• when assessing Rangi, which part of the body would you assess for the presence of central cyanosis?

Answer 1

Oral mucosa

Question 2

Which of the following processes is not required in order for effective respiration to occur?

Answer 2

Obstruction

Question 3

Which of the following is a warning sign of acute respiratory distress?

Answer 3

A blue tinge to the mouth and lips

Question 4

Which would be the most important for you to remember when auscultating Rangi’s posterior chest?

Answer 4

Be alert to the patients comfort and offer rest periods

Question 5

When auscultating the apices of Rangi’s lungs, where would you place the stethoscope?

Answer 5

Slightly above the clavicle

Question 6

Describe a wheeze

Answer 6

High-pitched, musical sounds heard primarily during expiration