Exam (elaborations)
NSG 6020 Midterm 2024/2025 ( 100% verified ) A+ grade assured
- Course
- Institution
NSG 6020 Midterm 2024/2025 ( 100% verified ) A+ grade assured
[Show more]
Content preview
NSG 6020 MidtermWhat age does bronchiolitis occur? - ANSmost common at age 6 months- does not occur
after age 2
main symptom of bronchiolitis - ANSwheezing-lasts about 7 days
most common cause of bronchiolitis - ANSRSV
Treatment for bronchiolitis - ANSNo specific treatment
Order of lung exam - ANSinspect, palpate, percuss, auscultate
Pectus Excavatum - ANScongenital posterior displacement of lower aspect of sternum
-hollowed-out appearance
-concave appearance of lower sternum
Pectus carinatum - ANSat birth
-post CABG
mid childhood and 11-14 year old pubertal males undergoing a growth spurt
-convex deformity
-97% have MVP
Barrel Chest - ANSassociated with emphysema and lung hyperinflation
-accompanying x-ray demonstrates increased ant-post diameter as well as diaphragmatic
flattening
Tactile fremitus - ANSpalpable vibrations of the bronchiopulmonary tree as the patient is
speaking (99 or 1-2-3)
-impeded in COPD, pulm effusion or pneumothorax
-increased in consolidation and PNA
percussion:
flatness - ANS(thigh)
Large Pleural effusion
Percussion- dullness - ANS(liver)
Lobar PNA
Percussion: resonance - ANS(Lung)
simple chronic bronchitis
Percussion: hyperresonance - ANSNone
-emphysema, pneumothorax
, Percussion: tympany - ANS(gastric bubble)
-large pneumothorax
Auscultation: vesicular - ANSsoft and low pitched; usually heard over most of both lungs
Auscultation: bronchial - ANSlouder and higher in pitch; usually heard over the manubrium
Auscultation: bronchovesicular - ANSintermediate intensity and pitch; usually heard over the
1st and 2nd interspaces
Auscultation: tracheal - ANSover the trachea and neck, very loud
Rhonchi - ANSlow-pitched snore-like sounds, often characterized by secretions w/in the
large airways
-sometimes cleared with a cough
Wheezes - ANScontinuous, high-pitched, musical, sounds that are produced by air flowing
through narrowed bronchi
-predominately expiratory
stridor - ANSloud, rough, continuous, high-pitched sound that is pronounced during
inspiration
-indicates proximal airway obstruction
absent/attenuated sounds - ANSNO airflow to the region being auscultated
-can occur in a pneumothorax, hemothorax, pleural effusion, or parenchymal consolidation
Crackles - ANSintermittent, nonmusical, very brief, more pronounced during inspiration
-fine or course
fine (softer, higher in pitch)
course (louder, lower in pitch)
Bronchophony - ANSask pt to say "99"
-should be muffled and indistinct
-CLEAR sounds are called bronchophony
Egophony - ANSask pt to say "ee"
-you should hear a muffled long ee sound
-"ee" sounds like "ay" it is positive and called egophony
-present over consolidation
whispered pectoriloquy - ANSask pt to say "99 or 1-2-3"
-whispered voice is normally faint and indistinct
-louder, clearer sounds are called whispered pectriloquy- heard over consolidation
Pleural effusion
-fremitus, percussion, whispered pectoriloquy, breath sounds - ANSfrem= decreased
perc=dull
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Rosedocs. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now