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NSG2317/ NSG 2317 Health Assessment Final exam solution guide_2022 $15.49   Add to cart

Exam (elaborations)

NSG2317/ NSG 2317 Health Assessment Final exam solution guide_2022

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NSG2317/ NSG 2317 Health Assessment Final exam solution guide_2022

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  • March 8, 2022
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NSG2317/ NSG 2317 Health Assessment Final exam
solution guide_2022
Functions of the respiratory system - answer - changing chest size during respiration
- inspiration
- expiration
- control of respiration

anterior-posterior & transverse diameter - answer - anterior-posterior: space between
front of chest and back
- transverse diameter: space from side to side

Ratio should be 1:2

Symmetric Expansion - answer hands with thumbs at T9-10, slide hand medially to
pinch, have pt. breathe, hands should go out and back in

vocal fremitus - answer vibration caused by speaking that is palpable

bronchial breath sounds - answer - heard over trachea
- quality is harsh, hallow and tubular
- inspiration<expiration

bronchovesicular breath sounds - answer - heard posteriorly between the scapulae
- quality is mixed
- inspiration = expiration

vesicular breath sounds - answer - heard over peripheral lung fields
- rustling like wind in trees
- inspiration>expiration

adventitious sounds - answer -crackles (rales)
-wheeze (rhonchi)
-atelectatic crackles

bronchophony - answer get patient to repeat 99 while auscultating; should hear solf,
muffled sounds

egophony - answer patient says "eeeeee."; should hear muffled sounds

whispered pectoriloquy - answer patient whispers a phrase; should be quiet muffled
sounds

barrel chest - answer increased anterior-posterior chest diameter

pectus excavatum - answer a chest that is hollowed out

pectus carinatum - answer forward protrusion of the sternum; pigeon chest

, NSG2317/ NSG 2317 Health Assessment Final exam
solution guide_2022

scoliosis - answer lateral curvature of the spine

kyphosis - answer humpback

axillary tail of spence - answer superior lateral corner of breast tissue, projects up and
laterally into axilla, most common place for breast cancer

the quadrants of the breast tissue - answer upper inner, upper outer, lower inner, lower
outer

Glandular breast tissue - answer - lobes, lobules, alveoli
- lactiferous ducts and sinuses

Fibrous breast tissue - answer - suspensory ligaments or Cooper's ligaments

gynecomastia - answer Abnormal development of breast tissue in males; deficiency in
testosterone

Tanner Scale Breast Stage 1 - answer - preadolescent
- only small, elevated nipple is present

Tanner Scale Breast Stage 2 - answer - breast bud stage
- a small mound of breast and nipple develops
- areola widens

Tanner Scale Breast Stage 3 - answer - the breast and areola enlarge
- the nipple is flush with the breast surface

Tanner Scale Breast Stage 4 - answer - the areola and nipple form a secondary
mound over the breast

Tanner Scale Breast Stage 5 - answer - mature breast
- only the nipple protrudes
- the areola is flush with the breast contour (areola may continue into a secondary
mound in some women)

When is the best time to do a breast self-examination? - answer between day 4-7 of
menstrual period; less inflammation (less false positives)

manoeuvres to screen for retraction - answer - raising arms
- hands on hips
- pushing palms together
- learning forwards

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