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Maryville NURS 612 Exam 2 Questions and answers rated A+ 2024/2025
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Maryville NURS 612 Exam 2 Questions and answers rated A+ 2024/2025
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Maryville NURS 612 Exam 2Look at the chest - ANSwithout clothes on; 1st determine shape and length; 2nd take a look
at for symmetry; 3rd thoracic landmarks; 4th coloration of pores and skin; fifth test for
supernumerary nipples; sixth superficial venous patterns; and seventh look at for rib
prominence
thoracic landmarks - ANSmidline trachea, costal angle, attitude of ribs, intercostal areas,
suprasternal notch
symmetry of chest - ANSthoracic enlargement at costal attitude, w/o use of accent muscle
tissue
hx questions for cc of resp problem - ANSWhat is the nature of your cough?; Do you
produce any sputum?; Is your cough associated with pastime?; What function are you
maximum secure in?; How many pillows do you sleep with at night time?; Is your SOB
related to hobby?
Normal respirations - ANSrate among 12 to 20/min; ratio of resp to heart beats= 1:four; pt
need to breathe effortlessly, often w/o obvious misery; pattern ought to be even, not too
shallow or too deep
hypopnea - ANSterm for abnormally shallow respirations
tachypnea - ANSterm for resp rate greater than 20, but steady and might occur in the course
of hyperventilation; often a symptom of pain
bradypnea - ANSterm for resp fee less than 12; may also imply neurologic or electrolyte
disturbances, infection, or aware reaction to shield against the ache of pleurisy or different
irritative pneumonia. Can additionally be 2/2 level of aerobic health
hyperventilation - ANSterm for instant and deep, heavy respirations, can be because of
workout, tension, and CNS and metabolic diseases
hyperpnea - ANSterm for abnormally deep respirations
kussmaul respirations - ANSdeep and mainly rapid respirations, used to explain resp effort
of metabolic acidosis
cheyne stokes respirations - ANSregular respiratory with durations of apnea by way of
crescendo decrescendo respiration; may be visible in snoozing pts, but generally pts who're
very unwell, esp with mind harm
biot respirations - ANSirregular respiratory that varies intensive and is interrupted irregularly
by means of intervals of apnea; related to extreme and persistent multiplied intracranial
, stress, resp compromise from drug poisoning, or mind harm at the medulla and generally
equals poor prognosis
peripheral regions related to respiratory assessment - ANSobserve the lips and nails for
cyanosis or pallor; lips for pursing; fingers for clubbing; and alae nasi for flaring
pleural friction rub - ANSdry, rubbing, or grating sound; palpable, coarse, grating vibration;
generally on proposal; resulting from irritation of the pleural surfaces; assume experience of
leather-based rubbing on leather-based
thoracic enlargement - ANSstand in the back of affected person and region thumbs
alongside spinal process at degree of tenth rib, with hands lightly in contact with the
posterolateral surfaces; watch the thumbs all through quiet and deep respiratory; loss of
symmetry = trouble on either 1 or both sides.
Crepitus - ANScrackly/crinkly sensation that can be palpated and heard, a gentle bubbly
feeling; shows air inside the subcutaneous tissue from a rupture somewhere inside the resp
machine, or infection with fuel generating organism
palpating the chest and trachea - ANSpalpate the throracic muscle tissues and skeleton;
feeling for pulsations, regions of tenderness, bulges, depressions, loads, and uncommon
movement
tactile fremitus - ANSpalpable vibration of the chest wall that effects from speech or different
verbalizations. Satisfactory felt posteriorly and laterally at the level of the bifurcation of the
bronchi; have patient say "99" even as you palpate with palmer floor of hands or ulner factor
of the hand; use company, mild touch
peculiar tactile fremitus - ANSdecreased of absent fremitus may be due to extra air in lungs
or might also indicate emphysema, pleural thickening, or effusion, big pulm edema, or
bronchial obstruction. Increased fremitus often coarser or rougher in experience, because of
presence of fluids or strong mass within the lungs.
7 characteristics of enlarged lymph nodes - ANSlocation, size and form, consistency,
mobility, discreteness, tenderness, and heat
occipital lymph nodes - ANSlymph nodes at the bottom of the cranium
postauricular lymph nodes - ANSlymph nodes over the mastoid procedure, behind the ear
preauricular lymph nodes - ANSlymph nodes in front of the ear
parotid and retropharyngeal lymph nodes - ANSlymph nodes on the attitude of the mandible
(tonsillar)
submandibular lymph nodes - ANSlymph nodes halfway between the attitude and tip of the
mandible
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