Respiratory Assessment Quiz
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Questions and Answers

What are the 6 characteristics observed during respiratory assessment inspection?

  • Chest rise and fall, skin color, respiratory rate, breath sounds, oxygen saturation, cough
  • Chest shape, skin temperature, breathing pattern, heart rate, oxygen saturation, cough
  • Color, cough, sputum, chest shape, skin temperature, respiratory rate
  • Breathing pattern, chest rise and fall, skin color, respiratory rate, cough, sputum production (correct)

What are the situations for applying supplemental O2?

  • During hypoventilation and hyperventilation
  • During hyperventilation and carbon monoxide poisoning (correct)
  • During hypoventilation and carbon monoxide poisoning
  • During hyperventilation and cyanosis

Which of these are signs & symptoms of Hypoxia?

  • Bradypnea, hypertension, flushed skin
  • Confusion, headache, restlessness
  • Hypotension, diaphoresis, tachycardia
  • Tachypnea, cyanosis, accessory muscle use (correct)

What are the structures of the upper airway?

<p>Nasal cavity, pharynx, larynx (B)</p> Signup and view all the answers

Which diagnostic test is used to assess lung capacity and airflow?

<p>Pulmonary function tests (C)</p> Signup and view all the answers

What is the purpose of peak flow meters in asthma monitoring?

<p>Monitoring severity of airflow reduction (C)</p> Signup and view all the answers

Which problem statement is related to difficulty in clearing airways?

<p>Ineffective airway clearance (A)</p> Signup and view all the answers

What is the purpose of incentive spirometry in respiratory care?

<p>Preventing and reversing atelectasis (B)</p> Signup and view all the answers

Which nursing intervention focuses on improving oxygen and CO2 exchange?

<p>Pursed lip breathing (B)</p> Signup and view all the answers

What is a common medication for respiratory conditions that acts to reduce inflammation?

<p>Corticosteroids (A)</p> Signup and view all the answers

What is an essential focus of nursing interventions for managing respiratory conditions effectively?

<p>Weight reduction (C)</p> Signup and view all the answers

What is an important aspect of oxygen therapy for treating hypoxia?

<p>Adjusting delivery method based on specific indications (D)</p> Signup and view all the answers

When should suctioning be done for patients with respiratory issues?

<p>As needed for patients unable to mobilize secretions (B)</p> Signup and view all the answers

What can result from various conditions such as heart failure, COPD, anemia, and pneumonia, leading to low arterial blood oxygen levels and poor diffusion?

<p>Hypoxemia (D)</p> Signup and view all the answers

What does auscultation involve in respiratory assessment?

<p>Listening to lung sounds (D)</p> Signup and view all the answers

Which factor supports the adequacy of ventilation?

<p>Alveolar aeration (B)</p> Signup and view all the answers

What does hypoxia denote?

<p>Low oxygen levels in body tissues (A)</p> Signup and view all the answers

What is included in the assessment of the respiratory system?

<p>Palpation and auscultation (A)</p> Signup and view all the answers

Which factor influences oxygenation?

<p>$CO_2$ transport (B)</p> Signup and view all the answers

What is a key aspect of respiratory assessment related to breathing patterns?

<p>$AP$ diameter measurement (C)</p> Signup and view all the answers

What may indicate different respiratory conditions and should be carefully assessed?

<p>$Kussmaul's$ respirations (D)</p> Signup and view all the answers

What does external respiration involve?

<p>Gas exchange in the lungs' alveoli (A)</p> Signup and view all the answers

What does inadequate ventilation lead to?

<p>Hypoxia and hypocarbia (B)</p> Signup and view all the answers

What is essential in assessing cough and sputum during a respiratory examination?

<p>Color, odor, consistency, and associated conditions (D)</p> Signup and view all the answers

What should be considered when conducting a respiratory assessment?

<p>Patient's medical history, current respiratory problems, medications, allergies, lifestyle, environmental exposures, and health risks. (C)</p> Signup and view all the answers

What is included in the physical examination of the respiratory system?

<p>Inspection, palpation, percussion, and auscultation. (A)</p> Signup and view all the answers

Which factor influences ventilation rate?

<p>Depth and speed of breathing. (B)</p> Signup and view all the answers

Which of the following is a possible complication of suctioning in respiratory care?

<p>Mucosal trauma (B)</p> Signup and view all the answers

What is the recommended duration of each suction pass during respiratory care?

<p>10 seconds (B)</p> Signup and view all the answers

What is a potential sign of hypoxia in a patient?

<p>Cyanosis (D)</p> Signup and view all the answers

Which diagnostic test is commonly used to assess sleep-related breathing disorders?

<p>Sleep studies overnight at testing center (A)</p> Signup and view all the answers

In which position should a patient be placed to promote optimal relaxation and avoid airway blockage during sleep?

<p>&quot;Side lying&quot; position (B)</p> Signup and view all the answers

What is the main purpose of continuous positive airway pressure (CPAP) therapy in treating respiratory conditions?

<p>&quot;To maintain open airways and improve oxygenation&quot; (B)</p> Signup and view all the answers

What is an essential nursing intervention for a patient in respiratory distress?

<p>Reposition head of bed up - High Fowler's (D)</p> Signup and view all the answers

What is an indication for oxygen therapy in respiratory care?

<p>Oxygen saturation &lt; 88-90% (B)</p> Signup and view all the answers

Which condition may lead to low hemoglobin levels?

<p>Anemia (D)</p> Signup and view all the answers

What are early signs and symptoms of hypoxia?

<p>Restlessness and tachycardia (C)</p> Signup and view all the answers

What are potential signs of respiratory distress in a patient?

<p>Tachypnea and cyanosis (D)</p> Signup and view all the answers

What is an essential nursing intervention for promoting effective airway clearance?

<p>Encourage deep breathing exercises and coughing techniques (C)</p> Signup and view all the answers

Flashcards

Ventilation

Movement of air into and out of the lungs.

Respiration

Exchange of oxygen and carbon dioxide in the body.

Adequate ventilation factors

Airway patency, lung compliance, alveolar aeration.

Ventilation rate

Determined by depth, speed, lung elasticity, and resistance.

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Hypoxemia

Low oxygen levels in the blood.

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Hypoxia

Low oxygen levels in body tissues.

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Hypercarbia

Elevated blood carbon dioxide levels.

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Hypocarbia

Low carbon dioxide levels in the blood.

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External respiration

Gas exchange in the alveoli of the lungs.

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Internal respiration

Gas exchange in body organs and tissues.

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Oxygen transport factors

Influences include CO2 transport and respiratory health.

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Respiratory assessment

Evaluation involving medical history and symptoms.

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Physical examination methods

Inspection, palpation, percussion, and auscultation.

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Cough assessment

Evaluating cough characteristics like color and consistency.

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AP diameter

The anteroposterior diameter should be half of chest width.

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Clubbing

Enlargement of nails indicating chronic oxygen deficiency.

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Cyanosis

Bluish discoloration of skin due to low oxygen.

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Breathing patterns

Patterns indicate different respiratory conditions.

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Eupnea

Normal breathing pattern.

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Tachypnea

Rapid breathing rate.

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Bradypnea

Slow breathing rate.

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Dyspnea

Difficulty breathing or shortness of breath.

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Orthopnea

Difficulty breathing while lying down.

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Apnea

Temporary cessation of breathing.

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Kussmaul's respirations

Deep, labored breathing often due to acidosis.

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Biot's respirations

Irregular breathing pattern with periods of apnea.

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Cheyne-Stokes respirations

Cyclic pattern of breathing with increases and decreases.

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Stridor

High-pitched wheezing sound indicating obstruction.

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Study Notes

Respiration and Ventilation: Key Concepts

  • Ventilation involves the movement of air into and out of the lungs, while respiration encompasses the exchange of oxygen and carbon dioxide in the lungs and body organs and tissues.
  • Adequacy of ventilation is supported by factors such as airway patency, lung compliance, alveolar aeration, perfusion of blood to lung tissue, and adequate muscle function.
  • Factors affecting ventilation rate include depth and speed of breathing, lung elasticity and compliance, airway resistance, and the presence of hyperventilation or hypoventilation.
  • Inadequate ventilation can lead to hypoxemia (low blood oxygen) and hypoxia (low tissue oxygen), as well as hypercarbia (elevated blood CO2) or hypocarbia (low blood CO2).
  • Hypoxemia refers to low oxygen levels in the blood, while hypoxia denotes low oxygen levels in body tissues, often due to poor alveolar diffusion or circulation issues.
  • External respiration involves gas exchange in the lungs' alveoli, while internal respiration occurs in body organs and tissues.
  • Factors influencing oxygenation include oxygen and CO2 transport, physiological respiratory factors like hyperventilation and hypoventilation, and various pathophysiological conditions such as respiratory infections and structural abnormalities.
  • When conducting a respiratory assessment, it is crucial to consider the patient's medical history, current respiratory problems, medications, allergies, lifestyle, environmental exposures, and health risks.
  • The physical examination of the respiratory system involves inspection, palpation, percussion, and auscultation, and includes assessing the color of skin and mucous membranes, respiratory rate, breathing patterns, and effort.
  • Assessment of cough and sputum is an essential part of respiratory examination, considering factors such as color, odor, consistency, and associated conditions that may worsen or improve coughing.
  • AP diameter, which should be half the width of the chest, and the presence of clubbing, cyanosis, and abnormal breathing patterns like stridor, nasal flaring, and use of accessory muscles are also key aspects of respiratory assessment.
  • Various breathing patterns such as eupnea, tachypnea, bradypnea, dyspnea, orthopnea, apnea, Kussmaul's respirations, Biot's respirations, Cheyne-Stokes respirations, and stridor may indicate different respiratory conditions and should be carefully assessed.

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Description

Test your knowledge of respiratory assessment by identifying body positions, breathing sounds, and chest palpation findings. This quiz covers topics such as orthopnea, stridor, chest resonance, and lung auscultation.

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