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CMN 568 Exam 2- Physical Exam #1 Study Guide with Complete Solutions $9.99   Add to cart

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CMN 568 Exam 2- Physical Exam #1 Study Guide with Complete Solutions

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CMN 568 Exam 2- Physical Exam #1 Study Guide with Complete Solutions Physical examination - Answer-- Inspection - Palpation - Percussion - Auscultation Observe pattern of breathing - Answer-- RR (12-14rr/min) - Rhythm (regular with a sigh every 90 breaths or so) - Depth of breathing / tidal...

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  • October 3, 2024
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CMN 568 Exam 2- Physical Exam #1
Study Guide with Complete Solutions

Physical examination - Answer✔✔-- Inspection


- Palpation


- Percussion


- Auscultation


Observe pattern of breathing - Answer✔✔-- RR (12-14rr/min)


- Rhythm (regular with a sigh every 90 breaths or so)


- Depth of breathing / tidal volume (5ml/kg)


- Relative time spent inspiration and expiration (ratio 2:3)


Inspect for extrapulmonary signs of pulmonary disease - Answer✔✔-Use what you find to perform more

detailed exam


Palpate - Answer✔✔-- Trachea at suprasternal notch


- Posterior chest wall (gauge fremitus / transmission through lungs of vibrations of spoken words)


- Anterior chest wall (assess cardiac impulse)


Percussion - Answer✔✔-Identifies dull areas or hyperresonant areas


Auscultation - Answer✔✔-Lung sounds

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FIRST PUBLISH SEPTEMBER 2024


Pulmonary Function Tests - Answer✔✔-Measures airflow rates, lung volumes, ability of lung to transfer

gas across alveoli-capillary membrane


What would indicate to FNP that patient needs PFT? - Answer✔✔-- Assess type/extent of lung

dysfunction


- Dx of causes of dyspnea and cough


- Detect early evidence of lung dysfunction


- Follow-up response to therapy


- Pre- op assessment


- Disability eval


Patient presents with acute asthma exacerbation with mild resp. distress. You want to perform a PFT to

see how well gas exchange is occurring. Is this correct management for the patient? - Answer✔✔-- No


- PFTs are contraindicated in acute severe asthma, resp. distress, angina aggravated by testing,

pneumothorax, ongoing hemoptysis, active TB


How do you measure your patients PFTs to establish if they are normal or not? - Answer✔✔-- They are

measured against predicted values derived from large studies of healthy subject


- Vary with age, gender, height, weight, ethnicity


Tachypnea - Answer✔✔-Increased resp rate and decreased TV


Irregular rhythm - Answer✔✔-- Rapid, shallow breathing


- Restrictive lung disease (precursor to resp failure)

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