Week 8: Respiratory Flashcards Preview

Nurp 500: Health Assessment > Week 8: Respiratory > Flashcards

Flashcards in Week 8: Respiratory Deck (47)
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1

What does the diaphragm do during inspiration?

Diaphragm contracts and flattens, descends in the chest wall, expands the abdominal wall.

2

What does the diaphragm do during expiration?

Diaphragm relaxes, chest wall and lungs recoil (contract).

3

Cough with cardiac happens with:

Left-sided heart failure

4

Acute cough time frame:

Less than 3 weeks

5

Duration of subacute cough:

3-8 weeks

6

Duration of chronic cough:

Greater than 8 weeks

7

Acute cough causes:

Viral URI, acute bronchitis, foreign body, smoking, ACE-I

8

Causes of subacute cough:

Post infectious, pertussis, reflux, bacterial sinusitis, asthma

9

Causes of chronic cough:

PND, asthma, GERD, chronic bronchitis, bronchiestasis

10

Type of mucus that is translucent, white, grey

Mucoid

11

Mucoid mucus is typically:

Viral, CF

12

Type of mucus that is yellow, green:

Purulent

13

Purulent mucus is typically:

Bacterial PNA

14

Foul smelling mucus is typically related to:

Lung abscess

15

Thick/tenacious mucus is related to:

CF

16

Hemoptysis can occur with:

Bronchitis, malignancy, CF

17

Normal breath sounds:

Vesicular, bronchovesicular, bronchial, tracheal

18

Adventitious breath sounds:

Crackles (rales), wheezes, rhonchi

19

Silent chest indicative of:

Asthma

20

Blood originating from the ___ is usually darker than blood from the respiratory tract and may be mixed with food particles.

Stomach

21

Asymmetry with chest expansion is indicative:

Of pleural effusion

22

This technique is imprecise and detects asymmetry of the chest also detects transmitted vibrations

Tactile fremitus

23

Normal percussion sounds for lungs:

Resonant

24

Breath sounds are usually louder in the:

Lower posterior lung fields

25

Breath sounds may be decreased when air flow is decreased as in: ____ or when transmission of sound is poor as in:______

Obstructive Lung disease prevention respiratory muscle weakness

Pleural effusion, pneumothorax, or COPD

26

With this exam technique ask the patient to say “ee”. You will normally hear a muffled long E sound.

Egophony

27

With this exam technique, ask the patient to say 99. Normally the sounds transmitted through the chest wall are muffled and in distinct. Louder voice sounds are called this:

Bronchophony

28

An e to a change indicated egophany is present and hearing a 99 clearly indicates bronchophony is present. Both of this is seen in:

Lobar consolidation from pneumonia

29

With this exam technique, ask the patient to whisper 99 or 1-2-3. The whispered voice is normally heard faintly and indistinctly, if at all.

Whispered pectoriloquy

30

For a FET listen over the trachea and ask the patient to take a deep breathe in and out as quickly as possible with mouth open. If patient is over 60 and the FET is greater than 9 seconds they are four times more likely to have:

COPD