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NUR 216 Exam 3 Questions and answers | Updated 2024/25 Rated A+
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NUR 216 Exam 3 Questions and answers | Updated 2024/25 Rated A+
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NUR 216 Exam 3 Questions and answers| Updated 2024/25 Rated A+
What does ICOUGH stand for? - Incentive Spirometry
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Cough
Oral care ii
Understanding (patient) ii
Get out of bed
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Head of bed elevated ii ii ii
How to find first intercostal space? - Ask patient to flex head. Bony protrusion at base of
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neck is C7. Vertebra below C7 is T1 (rib one)
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ii Which lobes are auscultated on the anterior chest? - Upper (and right middle) lobes
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ii Which lobes are auscultated on the posterior chest? - Lower lobes
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ii What is it called if the pleura is filled with fluid? - Pleural effusion
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What are the interventions for hyperventilation? - - Raise head of bed
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- Help client relax
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- Paper bag breathing if needed
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- Find the cause
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Respiratory changes in older adult? - - Lung structure more rigid
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- Thorax less able to expand
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- Decreased number of alveoli
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- Less effective ciliary elevator
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- Lowered cough reflex
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Overall, a lesser surface area for gas exchange and an increased risk of infection
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ii What are some causes of tachypnea? - Anxiety, smoking, illness, anemia
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ii What are some causes of bradypnea? - Opioids, respiratory muscle fatigue, sedatives
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ii What is the normal range for SpO2? - 95-100% (report <90% to doctor)
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What aspects of respiration should be inspected? - Rate, rhythm, depth, pattern,
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accessory muscle use
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ii Where should your thumbs lie when palpating symmetrical chest expansion? - T9/T10
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ii Which type of breath sound has a longer inspiration phase than expiration? - Vesicular
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