| Question |
Answer |
| Hoarseness, stridor, muffling or a barking cough may indicate abnormalities of the ________. |
|
Upper airway, like GERD or vocal cord dysfunction
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| What tools are used to determine the intensity of dyspnea? |
|
The Borg scale or visual analogue scale (VAS)
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| You have a patient with asthma that states he frequently wakes up at night with chest tightness and wheezing. This leads you to believe he needs what intervention? |
|
A longer lasting bronchodilator or medication change. This can also be the case for a patient with COPD complaining of the same things.
|
| You have a patient with COPD that is being discharged from the hospital after a bout of pneumonia. You are conducting discharge teaching. Since this patient still has mild hypoxemia, you decide to teach the information (after getting permission) with his wife in the room. Your rationale for this is... |
|
Hypoxemia interferes with the ability to learn and retain information. His wife can reinforce the information later when necessary.
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| ___________ pain is located along the sternal borders and is associated with breathing. |
|
Costochondritis
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| What activities prior to sex can help a patient during intimate moments? |
|
Using their bronchodilator, coughing and deep breathing
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| Bogginess of nasal mucous membranes is indicative of ... |
|
Edema
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| Watery discharge from the nose may be indicative of... |
|
Allergies or leaking cerebrospinal fluid (most often after a car accident or some type of trauma)
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| You elicit a gag reflex from a patient during a respiratory assessment. Which CN were tested? |
|
CN IX: Glossopharyngeal
CN X: Vagus
|
| A doctor comes out of a patient's room and tell you that the patient has shotty nodes. What does this mean for the patient? |
|
Nothing, shotty nodes are a normal finding. It means they were non-tender, freely moveable and small
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| When assessing the thorax and lungs, where should you start and why? |
|
You should start posteriorly, for women you can assess more readily without disruption from breast tissue and for easily fatigued patients you can get the most information in a short amount of time.
|
| Normal AP (Anterior-Posterior) diameter is a ratio of ______ to the transverse diameter. |
|
1:02
|
| Pectus ________ is a prominent protrusion of the sternum and pectus ________ is an indentation of the lower sternum above the xiphoid process. |
|
Pectus carinatum: protrusion
Pectus excavatum: indentation
|
| A patient has a right sided pneumothorax. You would expect the trachea to be shifted to the _______ side. |
|
Left
|
| A patient has a right sided pneumonectomy, you would expect the trachea to be shifted to the ________. |
|
Right
|
| A patient has a right sided lobar atelectasis, you would expect the trachea to be shifted to the ________. |
|
Right
|
| What conditions would cause increased fremitus? |
|
When the lung is filled with fluid (pleural effusion) or becomes more dense (pneumonia, lung tumors, increased bronchial secretions and in areas above a pleural effusion)
|
| What condition would cause decreased fremitus? |
|
Barrel chest/hyperinflation (like with COPD)
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| What conditions would cause absent fremitus? |
|
pneumothorax or atelectasis
|
| If you have a patient you suspect will tire easily, where should you begin auscultation of the lung fields? |
|
At the base of the lungs (posteriorly)
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| What sound would you expect to percuss over a pneumothorax? |
|
Tympany (drum-like, loud and empty sounding)
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