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NR 302 Health Assessment Final Exam Study Guide / NR302 Final Exam Study Guide: Health Assessment I: Chamberlain (Latest 2020) $20.49   Add to cart

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NR 302 Health Assessment Final Exam Study Guide / NR302 Final Exam Study Guide: Health Assessment I: Chamberlain (Latest 2020)

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NR 302 Health Assessment Final Exam Study Guide / NR302 Final Exam Study Guide: Health Assessment I: Chamberlain Thorax and Lungs -What data can be gathered on a patient in respiratory distress from general survey only? -Do they use accessory muscles when breathing? Position-tripod, Barrel c...

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  • July 28, 2020
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NR 302 Health Assessment Final Exam Study Guide / NR302 Final Exam

Study Guide: Health Assessment I: Chamberlain




Thorax and Lungs

-What data can be gathered on a patient in respiratory distress from general survey only?

-Do they use accessory muscles when breathing? Position-tripod, Barrel chest, Nasal flaring,

color

-Structure and Function: The thorax

-Thoracic cage

-Sternum, 12 pairs of ribs

-12 thoracic vertebrae

-Muscles and cartilage

-Thoracic Cavity

-Mediastinium

-Pleural cavity

-Lung (Apex and base)




Structure and Function: Pleural Membranes

-Parietal pleura-lines the whole cavity

-Visceral pleura-lines the organs

,-Pleural space/cavity-both above total



Structure and Function: The respiratory system

-Trachea

-Bronchi

-Bronchioles

-Alveolar Sacs

-Alveoli



Landmarks-Visualize what you cannot see!

-Anterior chest

-Suprasternal notch “U shaped”

-Sternum

-Sternal angle (Angle of Louis) continuous with 2nd rib

-Ribs & intercostals

-Costal angle (at xiphoid) 90 degrees



-Posterior chest

-Vertebra prominence C7

-Spinous processes T1 is 1st rib

-T3 separates upper and lower lobes

-Inferior border of the scapula 8th rib

-12th rib

, Subjective Data

-Difficulty breathing, sleeping, chest pain, cough and sputum (Rusty-TB), smoking history,

environmental exposure

TO calculate smoking pack-years

1. Multiple the number of cigarettes smoked per day by number of years smoked

2. Divide by 20

i.e 10 cigarettes smoked per day x 10 years / 20 = 5 pack years



Objective Data

-Inspection of patient: Resp. rate & effort to breathe (Nasal flaring, accessory muscles,

positioning) skin color, nails, configuration of chest (Chest deformities)

-Palpation of anterior and posterior chest: Tenderness, lumps, crepitus (Subcutaneous air-rice

krispis under skin), tactile fremitus (99), respiratory expansion

-Percussion of lung fields: Resonance, hyper-resonance, dull, diaphragmatic excursion

-Auscultation of chest: Normal, adventitious, voice sounds, measurements of pulmonary

function: For screening**Begin at the moment of contact



Normal breath sounds

-Bronchial (Tracheal) –Over trachea & larynx E>1

-Bronchovesicular—Over major bronchi I=E

-Vesicular—over peripheral lung fields I>E

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