Respiratory System Exam Answers PDF

During auscultation of the upper lobes, you hear deep, rumbling, continuing sounds that are more pronounced on expiration. RHOUCHi/coarse crackles You would describe that breath sounds as ______ A 66-year old man arrived in the emergency room...

During auscultation of the upper lobes, you hear deep, rumbling, continuing sounds that are more pronounced on expiration. RHOUCHi/coarse crackles You would describe that breath sounds as ______ A 66-year old man arrived in the emergency room in respiratory distress. On observation, his arms were fixed to the bed rails, he was using his accessory muscles of inspiration, and he was using pursed lip breathing. The patient stated that "it feels like someone is standing on my chest. I just can't seem to take a deep breath." his HR was 123 bpm, his BP was 157/110, RR 30 & shallow. Hyperresonant notes were produced on percussion on Left side, dull notes were noted on RLL. Auscultation revealed expiratory wheezing & coarse crackles bilaterally, however diminished in RLL. His chest x-ray film revealed a severely depressed diaphragm & consolidation in the RLL. His Peak Expiratory Flow was 165 L/min. Cough was weak but produced a large amount of thick yellow secretions. ABG 7.27, PaCO2 64, HCO3 25 & Pa02 48 on RA. AIR TRAPPING Hyperresonant percussion notes in this case indicate _________ While assessing a patient in an acute asthma exacerbation, you detect a pulse that decreases markedly in strength during inspiration and increases back to normal during exhalation, you have pulsur paradoxus detected _______ The patient must be given sufficient information to make an informed decision as to their care, this informed consent is known as ________ A 66-year old man arrived in the emergency room in respiratory distress. On observation, his arms were fixed to the bed rails, he was using his accessory muscles of inspiration, and he was using pursed lip breathing. The patient stated that "it feels like someone is standing on my chest. I just can't seem to take a deep breath." his HR was 123 bpm, his BP was 157/110, RR 30 & shallow. Hyperresonant notes were produced on percussion on Left side, dull notes were noted on RLL. Auscultation revealed expiratory wheezing & coarse crackles bilaterally, however diminished in RLL. His chest x-ray film revealed a severely depressed diaphragm & consolidation in the RLL. His Peak Expiratory Flow was 165 L/min. Cough was weak but produced a large amount of thick yellow secretions. ABG 7.27, PaCO2 64, HCO3 25 & Pa02 48 on RA. Pursed Lip Breathing is a sign of_ COPD Learning occurs in which of the following domains? Select all that apply. affective cognitive , , psychomotor Your patient demonstrates to you that he can adjust the flow meter on the oxygen concentrator that he will be using at home. He also shows you that he can put on the oxygen cannula himself. Which of the patient's learning domains have you effectively addressed? psychomotor Which of the following is the most effective means of helping patient's to assume or resume responsibility for their health? be educated about Patient education (must their health) After providing education for your patient regarding oxygen therapy, you patient states, "I understand that oxygen is for treating people who are having difficulty breathing." Which leaming domain have you addressed with this patient? cognitive Match the following disease with the appropriate PPE. Mr. Carney is a 35 year old male who you are called to see urgently 1 day post abdominal surgery. He states "it's just so hard to breathe today". His temperature is 37.3°C, BP 145/95 mmHg, HR 120 beats per minute, RR25 breaths per minute, SPO2 92% on 1 LPM nasal cannula. He reports it is painful to cough so he braces his belly with a pillow in conjunction with a voluntary decrease in tidal volume to decrease the pain. He states when he does cough nothing comes up. When lungs are auscultated, fine crackles are heard in the bases bilaterally. Thoracic expansion reveals decreased expansion bilaterally and a lateral curvature of the spine is noted as well as an indented sternum. When breathing is palpated, vibrations are increased in the bases as compared to the apices of the lung. When percussed, a dull sound is heard over the bases bilaterally as compared with the apices. Upon inspection, you note neck and shoulder muscles are used to assist his breathing and muscles between the ribs pull in during inspiration. AP diameter appears 1:2. Capillary refill is 2 seconds. Trachea is midline. His extremities are cool with a bluish tint to his nail bed and fingertips. His blood gas is as follows: 7.53, PaCO2 28, PaO2 62, HCO3 20. Choose all that apply to Mr. Carney's condition. Chypertensiontachycardiacye a , If the patient's total respiratory time and respiratory rate stayed the same but the expiratory time was increased, the inspiratory time would decrease. True Which of the following diseases are of left ventricular origin? Select all that apply. aortic stenosis ,severe hypertension , left ventricular MF cardiomyopathy. , This heart sound is normal in children and young adults and is an early diastolic sound produced by blood passively entering the ventricles and contacting the ventricle walls, causing them to vibrate. Se  Apex-Mitral Match the following areas on the precordium for best listening to each of the four heart valves with the valve. 2RICS-aortic ZLICS- pulmonic LLSB-triup Which of the following may cause an increase in intensity of S1? Select all that apply. anemia , exercise fever, tachycardia , Which of the following may cause an increase in intensity of S2? Select all that apply. p. embolism; chronic left ventricular disfunction ; primary pulmonary hypertension , chronicLungis The first heart sound is associated with closure of valves. mithab and tricuspid OR atrioventricular This is where apical pulse is palpated as strongest, it can be felt & visualized in 5th intercostal space, just medial to the mid-clavicular line and will shift laterally with left ventricular hypertrophy. This can be difficult to locate in patients with chronic pulmonary hyperinflation. PMI The normal beating heart has a basic first and second heart sound with each cardiac cycle. The second sound is called — S2 Which of the following is NOT a common cause of an increase in the drive to breathe which would hypocabia increase the sensation of dyspnea? The normal beating heart has a basic first and second heart sound with each cardiac cycle. The first heart sound is called 51 Which of the following are of right ventricular origin? Select all that apply. 8) value obstruction centricular MF p. hypertension ; stenosis p. ; p. right This heart sound occurs late in diastole - just before S1, when the atria contracts and sends a bolus of blood into the ventricles just before systole. 54 What term is used to describe the chest pain associated with blockage of the coronary arteries? argina The normal beating heart has a basic first and second heart sound with each cardiac cycle. The first heart sound is called S1 Which of the following are decreased intensity of either S1 or S2 due to cardiac reasons? Select all that apply. value abromalities ventricular contractionon hypotension , poor Which of the following are of right ventricular origin? Select all that apply. Which of the following may cause a gallop rhythm? Select all that apply. CHF chronic abuse ; MI mitral value regurgitation , , drug Which of the following may cause an increase in intensity of S1? Select all that apply. - Which - of the following may cause an increase in intensity of S2? Select all that apply. The first heart sound is associated with closure of _ valves. - This is where apical pulse is palpated as strongest, it can be felt & visualized in 5th intercostal - space, just medial to the mid-clavicular line and will shift laterally with left ventricular hypertrophy. This can be difficult to locate in patients with chronic pulmonary hyperinflation. Which of the following causes the S1 sound heard on cardiac auscultation? closure of atrioventricular values Where and how is auscultation to determine the rate and rhythm of the heart done? with stethoscope at apex What is the most common cause of pedal edema? ventricular failure night.