NUR 209 MEDICAL SURGICAL NURSING
EXAM 4 STUDY GUIDE FORTIS COLLEGE
What are Vesicular breath sounds
Correct Answer -low-pitched, soft sound during expiration heard over most of
the lungs
What are bronchovesicular breath sounds?
Correct Answer -medium pitch and sound during expiration, heard over the
upper anterior chest and intercostal area
What are the cause of crackles?
Correct Answer -Fluid in airways
What is the causes of wheezing?
Correct Answer -Constriction of bronchial tubes
What is the cause of Rhonchi
Correct Answer -mucus in bronchial tree
What is the cause of stridor
Correct Answer -constriction of upper airway
What is rhonchi?
Correct Answer -snoring
,What is friction rub caused by?
Correct Answer -inflamed pleura rubbing against chest wall
What does capnography measure?
Correct Answer -exhaled CO2
What does thoracentesis measure?
Correct Answer -How much excess fluid in pleural space is removed
What is the peak expiratory flow rate?
Correct Answer -Measures ability to get air out during expiration
What are 5 ways to promote optimal lung function
Correct Answer -get flu and pneumococcal vaccines, encourage exercises,
affective coughing and deep breathing, good posture
What is postural drainage?
Correct Answer -position that lets gravity drain fluid and secretions out of lungs
How is percussion help to lungs
Correct Answer -vibration over chests to mobilize secretions
How to promote proper breathing (3)
Correct Answer -deep breathing, incentive spirometry, pursed lip breathing
Who is pursed lip breathing good for (3)
Correct Answer -Those who experience asthma, COPD, or dyspnea
, Who are chest tubes used for? (Name 2 typrs)
Correct Answer -Drains blood (hemothorax) or air (pneumothorax) that
develops when pleural space is disrupted
Where is a chest tube places if air needs to be expelled
Correct Answer -higher in chest
Where is a chest tube placed if fluid needs to be expelled
Correct Answer -lowered in chest
What does a chest tube do
Correct Answer -drains pleural effusion and allows lungs to be reexpanded
What are the 3 chambers of a chest tube?
Correct Answer -1 chamber: drainage from client, 2 chamber: water seal
chamber (air bubbles down into water to prevent it from going backwards), and
chamber 3: suction chambers (bubbles water to remove air)
What are 4 types of inhaled medications?
Correct Answer -Bronchodilators, Nebulizers, MDI's, and dry-powder inhalers
How many liters can be administered through a nasal cannula? Maximum
concentration?
Correct Answer -up to 6L, 44%
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