Podcast
Questions and Answers
What does crepitus indicate when palpating the chest?
What does crepitus indicate when palpating the chest?
- Excessive moisture in the chest cavity
- Presence of subcutaneous air in the chest (correct)
- Normal chest condition
- Overinflated lungs
Where are painful costochondral joints typically located?
Where are painful costochondral joints typically located?
- On the shoulders
- At the mid clavicular line (correct)
- At the spine
- Over the ribs
What may cause pain over a rib or vertebral fracture?
What may cause pain over a rib or vertebral fracture?
- Overhydration
- Sore muscles from running
- Improper posture
- Protracted coughing (correct)
What should gentle palpation during assessment of the chest not cause?
What should gentle palpation during assessment of the chest not cause?
What do palpable vibrations caused by the transmission of air through the bronchopulmonary system refer to?
What do palpable vibrations caused by the transmission of air through the bronchopulmonary system refer to?
What is indicated if a small amount of subcutaneous air is found around a chest tube insertion site?
What is indicated if a small amount of subcutaneous air is found around a chest tube insertion site?
What should be the distance between the marks when measuring diaphragm movement?
What should be the distance between the marks when measuring diaphragm movement?
How can you locate the upper edge of the diaphragm during peak technique measurement?
How can you locate the upper edge of the diaphragm during peak technique measurement?
What alters the pitch of breath sounds when auscultating the chest?
What alters the pitch of breath sounds when auscultating the chest?
What helps determine the condition of the alveoli and surrounding pleura?
What helps determine the condition of the alveoli and surrounding pleura?
What are the four steps involved in a physical examination of the respiratory system?
What are the four steps involved in a physical examination of the respiratory system?
What should a patient be wearing during a physical examination of the respiratory system?
What should a patient be wearing during a physical examination of the respiratory system?
What should be used to listen to a full inspiration and a full expiration at each site during respiratory system assessment?
What should be used to listen to a full inspiration and a full expiration at each site during respiratory system assessment?
In what order should the back and front of the chest be examined during a respiratory system assessment?
In what order should the back and front of the chest be examined during a respiratory system assessment?
What changes as air moves from larger airways to smaller airways?
What changes as air moves from larger airways to smaller airways?
Why is it important to compare one side of the chest with the other during a physical examination of the respiratory system?
Why is it important to compare one side of the chest with the other during a physical examination of the respiratory system?
What should be noted about the patient during a respiratory system assessment?
What should be noted about the patient during a respiratory system assessment?
Why should a well-lit and warm room be ensured before a respiratory system assessment?
Why should a well-lit and warm room be ensured before a respiratory system assessment?
What type of sound would you expect to hear when percussing over normal lung tissue?
What type of sound would you expect to hear when percussing over normal lung tissue?
When percussing the chest of a patient with atelectasis before chest physiotherapy, what type of sound would you hear?
When percussing the chest of a patient with atelectasis before chest physiotherapy, what type of sound would you hear?
What does dullness during percussion indicate?
What does dullness during percussion indicate?
Where would you expect to hear a dull sound when percussing the chest?
Where would you expect to hear a dull sound when percussing the chest?
What is the significance of hearing low-pitched, hollow sounds during percussion?
What is the significance of hearing low-pitched, hollow sounds during percussion?
Where would you hear resonant sounds over normal lung tissue?
Where would you hear resonant sounds over normal lung tissue?
What action should be taken if the patient has abundant chest hair?
What action should be taken if the patient has abundant chest hair?
What type of breath sound is tracheal breath sound?
What type of breath sound is tracheal breath sound?
What might cause continuous breath sounds in both lungs?
What might cause continuous breath sounds in both lungs?
Where should the stethoscope be placed to auscultate for breath sounds?
Where should the stethoscope be placed to auscultate for breath sounds?
What does vesicular breath sound indicate?
What does vesicular breath sound indicate?
Where should bronchovesicular breath sounds be heard most prominently?
Where should bronchovesicular breath sounds be heard most prominently?
Study Notes
Respiratory System Assessment
- The respiratory system assessment involves four steps: inspection, palpation, percussion, and auscultation.
- Start by inspecting the chest, looking for symmetry, deformities, or signs of respiratory distress.
- Palpate the chest to assess for tenderness, crepitus, and deformities.
- Percuss the chest to detect areas of resonance or dullness, indicating air in the lungs or pleural space.
- Auscultate the chest to listen for breath sounds, noting their intensity, location, pitch, duration, and characteristics.
Percussion
- Percuss the chest to detect areas of resonance or dullness, indicating air in the lungs or pleural space.
- Hyperresonance indicates increased air in the lungs or pleural space.
- Dullness indicates decreased air in the lungs.
- Use percussion sequences to assess the chest, starting from the sixth intercostal space.
Palpation
- Palpate the chest to assess for tenderness, crepitus, and deformities.
- Crepitus indicates subcutaneous air in the chest, an abnormal condition.
- Gentle palpation should not cause pain, and areas of tenderness should be noted.
Auscultation
- Auscultate the chest to listen for breath sounds, noting their intensity, location, pitch, duration, and characteristics.
- There are four types of breath sounds: tracheal, bronchial, bronchovesicular, and vesicular.
- Listen for breath sounds in different areas of the chest, using the diaphragm of the stethoscope.
- Abnormal breath sounds may indicate respiratory disorders, such as emphysema or atelectasis.
Measuring Diaphragm Movement
- Measure diaphragm movement by asking the patient to exhale and then inhale deeply.
- Percuss the back to locate the upper edge of the diaphragm and mark its position.
- Measure the distance between the marks to determine diaphragm movement.
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Description
Test your knowledge on assessing the respiratory system and detecting respiratory disorders through systematic evaluation. This quiz covers factors influencing the depth of assessment, patient interaction, and the importance of early detection.
