Podcast
Questions and Answers
What physiological process generates the pulse that is measured when taking vital signs?
What physiological process generates the pulse that is measured when taking vital signs?
Which of the following is most accurately described by the term 'diastolic blood pressure'?
Which of the following is most accurately described by the term 'diastolic blood pressure'?
Why is body temperature routinely monitored during patient assessments?
Why is body temperature routinely monitored during patient assessments?
A patient is exhibiting a body temperature of 36 degrees Celsius. How would this condition be classified?
A patient is exhibiting a body temperature of 36 degrees Celsius. How would this condition be classified?
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Why is oxygen saturation (SpO2) sometimes referred to as the 'fifth vital sign'?
Why is oxygen saturation (SpO2) sometimes referred to as the 'fifth vital sign'?
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What is the primary purpose of establishing an initial baseline SpO2 value during a patient assessment?
What is the primary purpose of establishing an initial baseline SpO2 value during a patient assessment?
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What is the nature of the 'inspection' process, as described in patient assessment?
What is the nature of the 'inspection' process, as described in patient assessment?
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If a patient is disoriented regarding person, place, and time, which condition is MOST likely indicated?
If a patient is disoriented regarding person, place, and time, which condition is MOST likely indicated?
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During the insertion of a Swan-Ganz catheter into a patient, what does the respiratory therapist primarily observe to guide the catheter's progression?
During the insertion of a Swan-Ganz catheter into a patient, what does the respiratory therapist primarily observe to guide the catheter's progression?
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Which measurement is NOT directly obtained using a pulmonary artery catheter?
Which measurement is NOT directly obtained using a pulmonary artery catheter?
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In the production of x-rays within an x-ray tube, what is the essential physical process that causes the emission of x-ray photons?
In the production of x-rays within an x-ray tube, what is the essential physical process that causes the emission of x-ray photons?
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How does the density of an object affect its appearance on an x-ray film?
How does the density of an object affect its appearance on an x-ray film?
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Which of the following is the MOST accurate description of how an artery is assessed during an inspection?
Which of the following is the MOST accurate description of how an artery is assessed during an inspection?
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A patient has a respiratory rate of 28 breaths per minute. Based on the provided information, in which age group would this be considered a normal respiratory rate?
A patient has a respiratory rate of 28 breaths per minute. Based on the provided information, in which age group would this be considered a normal respiratory rate?
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According to the provided content, which of the following scenarios would MOST likely result in tachypnea?
According to the provided content, which of the following scenarios would MOST likely result in tachypnea?
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When performing chest palpation, which parameter is NOT evaluated directly?
When performing chest palpation, which parameter is NOT evaluated directly?
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A patient presents with a respiratory rate significantly below the normal range. Which term BEST describes this condition?
A patient presents with a respiratory rate significantly below the normal range. Which term BEST describes this condition?
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What is the PRIMARY objective of percussion when assessing the respiratory system?
What is the PRIMARY objective of percussion when assessing the respiratory system?
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A nurse is about to assess a patient's respiratory rate. What action should they take to obtain the MOST accurate reading?
A nurse is about to assess a patient's respiratory rate. What action should they take to obtain the MOST accurate reading?
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Which finding would indicate the necessity for further respiratory assessment using palpation?
Which finding would indicate the necessity for further respiratory assessment using palpation?
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What is the significance, in the context of this content, of observing and assessing tactile fremitus?
What is the significance, in the context of this content, of observing and assessing tactile fremitus?
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Which of the following is NOT typically associated with increased airway resistance?
Which of the following is NOT typically associated with increased airway resistance?
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What is the primary function of the accessory muscles during a cough?
What is the primary function of the accessory muscles during a cough?
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What physiological change is directly responsible for the pursed-lip breathing technique offsetting airway resistance?
What physiological change is directly responsible for the pursed-lip breathing technique offsetting airway resistance?
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Which muscle is primarily responsible for the nasal flaring observed in infants during respiratory distress?
Which muscle is primarily responsible for the nasal flaring observed in infants during respiratory distress?
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Which of the following is NOT a characteristic of the series of events during a typical cough?
Which of the following is NOT a characteristic of the series of events during a typical cough?
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In infants, what primary purpose does nasal flaring serve during respiratory distress?
In infants, what primary purpose does nasal flaring serve during respiratory distress?
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Which of these describes a typical characteristic of a cough?
Which of these describes a typical characteristic of a cough?
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What is the immediate physiological effect and purpose of the elevated intrapleural pressure during pursed-lip breathing?
What is the immediate physiological effect and purpose of the elevated intrapleural pressure during pursed-lip breathing?
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Which of the following physical findings is not associated with acute respiratory distress?
Which of the following physical findings is not associated with acute respiratory distress?
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What is the primary purpose of an arterial catheter in the context of respiratory care described?
What is the primary purpose of an arterial catheter in the context of respiratory care described?
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During a cough, after the initial deep inspiration and partial closure of the glottis, what is the primary process that facilitates the forceful expulsion of air?
During a cough, after the initial deep inspiration and partial closure of the glottis, what is the primary process that facilitates the forceful expulsion of air?
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An elevated heart rate, pulse, and blood pressure during acute pulmonary disease are MOST directly stimulated by?
An elevated heart rate, pulse, and blood pressure during acute pulmonary disease are MOST directly stimulated by?
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In cases of respiratory distress, increased cardiac output functions as what kind of mechanism?
In cases of respiratory distress, increased cardiac output functions as what kind of mechanism?
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Which factor is NOT stated as a direct trigger for increased cardiac output and blood pressure mentioned?
Which factor is NOT stated as a direct trigger for increased cardiac output and blood pressure mentioned?
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What does a cyanotic or mottled appearance of the skin typically suggest about a patient’s condition?
What does a cyanotic or mottled appearance of the skin typically suggest about a patient’s condition?
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When evaluating a patient's perfusion status, which of the following is indicative of inadequate local perfusion?
When evaluating a patient's perfusion status, which of the following is indicative of inadequate local perfusion?
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For which patient condition is the central venous pressure (CVP) catheter MOST directly useful for monitoring?
For which patient condition is the central venous pressure (CVP) catheter MOST directly useful for monitoring?
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Which condition is NOT stated as a reason for an increased CVP reading?
Which condition is NOT stated as a reason for an increased CVP reading?
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What does the term 'sensorium' refer to in the context of assessing a patient’s perfusion state?
What does the term 'sensorium' refer to in the context of assessing a patient’s perfusion state?
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What does an increased CVP reading directly reflect, relating to ventricular pressure?
What does an increased CVP reading directly reflect, relating to ventricular pressure?
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Flashcards
Diastolic Blood Pressure
Diastolic Blood Pressure
The pressure in the arteries when the heart is relaxed between beats.
Systolic Blood Pressure
Systolic Blood Pressure
The pressure in the arteries when the heart is contracting.
Pulse
Pulse
A rhythmic throb created by the pumping of the heart's ventricles.
Pyrexia
Pyrexia
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Hypothermia
Hypothermia
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Oxygen Saturation (SpO2)
Oxygen Saturation (SpO2)
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Inspection
Inspection
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Normal Respiratory Rate
Normal Respiratory Rate
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Tachypnea
Tachypnea
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Bradypnea
Bradypnea
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Inspection of Respiration
Inspection of Respiration
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Palpation of Respiration
Palpation of Respiration
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Chest Excursion
Chest Excursion
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Tactile and Vocal Fremitus
Tactile and Vocal Fremitus
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Crepitus
Crepitus
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Percussion
Percussion
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Disorientation in Person, Place, and Time
Disorientation in Person, Place, and Time
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Pulmonary Artery Catheter (Swan-Ganz Catheter)
Pulmonary Artery Catheter (Swan-Ganz Catheter)
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How X-rays Work
How X-rays Work
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X-ray Tube
X-ray Tube
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Radiopaque
Radiopaque
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Cough
Cough
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Wheezing
Wheezing
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Stridor
Stridor
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Crackles (Rales)
Crackles (Rales)
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Pleural Friction Rub
Pleural Friction Rub
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Accessory Muscle Use
Accessory Muscle Use
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Pursed-Lip Breathing
Pursed-Lip Breathing
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Substernal Retractions
Substernal Retractions
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Intercostal Retractions
Intercostal Retractions
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Nasal Flaring
Nasal Flaring
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Arterial Catheter
Arterial Catheter
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Central Venous Pressure (CVP) Catheter
Central Venous Pressure (CVP) Catheter
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Increased Heart Rate, Pulse, and Blood Pressure in Pulmonary Disease
Increased Heart Rate, Pulse, and Blood Pressure in Pulmonary Disease
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Increased Cardiac Output in Pulmonary Disease
Increased Cardiac Output in Pulmonary Disease
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Perfusion State Assessment
Perfusion State Assessment
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Cyanosis
Cyanosis
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Diaphoretic, Cool, or Clammy Skin
Diaphoretic, Cool, or Clammy Skin
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Increased CVP in Left Ventricular Heart Failure
Increased CVP in Left Ventricular Heart Failure
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Increased CVP due to High Mechanical Ventilation Pressures
Increased CVP due to High Mechanical Ventilation Pressures
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Increased CVP in Cor Pulmonale
Increased CVP in Cor Pulmonale
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Study Notes
Patient Interview Overview
- Communication techniques during an interview involve using a patient's surname, introducing oneself, and stating the purpose.
- Open-ended questions encourage narrative responses, used to begin interviews, introduce new topics, or gather further information.
- Closed/direct questions elicit specific answers (yes/no, one-two words), used to clarify details and expedite the interview, especially in emergencies.
- Interview techniques include facilitation ('say more'), silence (patient time), reflection (repeating parts of what the patient says), empathy, and clarification (ambiguous words).
Patient History
- Biographic data (age, gender, occupation)
- Chief complaint (reason for seeking care, onset, duration, characteristics)
- Present health (current illness specifics)
- Past health (childhood illnesses, accidents, chronic illnesses, hospitalizations, operations, obstetric history, immunizations, last exam date, allergies, current medications, smoking/other habits)
- Family history
- Review of body systems (skin, head, eyes, ears, nose, mouth/throat, respiratory, cardiovascular, gastrointestinal, urinary, genital, endocrine systems)
- Functional assessment (daily living activities, work, sleep, rest, nutrition, relationships, stress management)
Vital Signs
- Blood pressure (force exerted on artery walls; systolic during contraction, diastolic during relaxation)
- Body temperature (assessed for inflammation/infection, varies with conditions and activity, core temp ~37°C/98.6°F)
- Oxygen saturation (fifth vital sign, immediate baseline, monitors response to care)
- Pulse (rhythmic pressure throb, generated by ventricular contraction, assessed where artery is close to skin)
- Respiration (rate dependent on age, newborn 30-60/minute, adult 12-20/minute, ideally measured when patient unaware; tachypnea increased rate, bradypnea decreased rate)
Systematic Examination of Chest and Lungs
- Inspection (ongoing process from history to exam, observing signs/symptoms)
- Palpation (touching chest to assess symmetry, trachea position, skin temp, muscle tone, tenderness, lumps/depressions, tactile/vocal fremitus, chest excursion)
- Percussion (determine size/consistency of air, liquid, or solid in lungs, dull note from pleural thickening/effusion/atelectasis/consolidation, hyperresonant in COPD/pneumothorax)
- Auscultation (assess heart, blood vessels, & airflow; abnormal lung sounds include crackles, wheezing, stridor, and pleural rubs)
Cardiopulmonary Assessment Findings
- Abnormal sputum production (color/characteristics indicate specific conditions)
- Cough and its characteristics (productive -amount, consistency, color, odor; nonproductive - frequency, pitch, loudness)
- Nasal flaring (common in infants with respiratory distress)
- Chest pain (pleuritic -sudden, sharp, stabbing, worsens with breaths, localized centrally; nonpleuritic -consistent, not worsened by breaths)
- Abnormal extremity findings (altered skin color-ashen, yellow, red; cyanosis, digital clubbing, peripheral edema, distended neck veins)
Radiologic Examination of the Chest
- Standard Positions (PA - patient upright, AP - patient supine, lateral - patient on side, decubitus -patient lying on side)
- Techniques (radiographs, CT, MRI, Bronchography, Pulmonary angiography, PET)
- Radiologic Terminology (air cyst, bleb, bronchogram, cavity, consolidation, homogeneous density, infiltrate,lesion, opacity, pleural density, pulmonary mass, nodule, radiodensity,radiolucency)
Other Important Tests and Procedures
- Pulmonary function assessment (evaluates respiratory function, differentiates obstructive/restrictive disorders)
- Ventilation-perfusion scan (identifies PE)
- Skin tests (evaluates allergic reactions or TB)
- Thoracentesis/pleurodesis (for fluid accumulation/pneumothorax)
- Endoscopic examinations (bronchoscopy, mediastinoscopy for detailed airway/mediastinal evaluation)
- Lung biopsy
- Hematology, Blood Chemistry, and Electrolyte Findings (RBC count, Hb, Hct, WBC count, and platelet count; detailed blood chemistry panels include Glucose, LDH, SGOT, AST, ALT, Bilirubin, BUN, and Serum creatinine).
- Thoracentesis (fluid removal from pleural space)
- Pleurodesis (involves injecting agents to prevent the recurrence of a pneumothorax or pleural effusion.)
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Description
This quiz explores effective communication techniques used during patient interviews, including the use of open-ended and closed questions. It also covers the essential components of a patient history, such as biographic data and current health status. Test your knowledge on these fundamental concepts in patient care.