chapter 16
how many ribs do we have
12
how many lobes left
2
how many lobes on right
3
anterior site
5 sites
posterior
9 sittes
nurse auscultates low-pitched bubbling, moist sounds that persists from early inspiration to early expiration. How should the nurse document these sounds?
corase crackles
lower respiratory tract
larynx, trachea, bronchi, lungs
Ventilation
movement of air into and out of the lungs bretahing
Pack year history
number of packs per day x number of years smoked
risk factors for pulmonary embolism
ostpartum or postoperative periods, prolonged bed rest, congestive heart failure, chronic lung disease, fractures of hip or leg, and deep venous thrombosis (often not clinically apparent).
flat sound is percussed over lung tissue, this is an indication of a
pleural effusion.
fever, dyspena , cough , coarse /fine crackles indicate
pneumonia
occurring late in inspiration are associated with restrictive diseases such as pneumonia. - postoperative
pneumonia
congestive heart failure, the shortness of breath is not described as the inability to take in a deep breath.
pulmonary embolism,
astham / chrinic emphesyea sound
silbant wheeze
bronchitis sound
sonorous wheeze
A high-pitched crowing sound from the upper airway results from tracheal or laryngeal spasm and is called what?
stridor
respiratory rate greater than 24 breaths per minute.
tachpnea
A person with a barrel chest has a problem doing what?
taking a deep breath
When the diaphragm contracts during inspiration
the thoracic cavity enlarges
"spitting up rust-colored sputum."
tuberclusis
right lung has
upper, lowe, base lobe
pleurisy cause tachpenea
yes they may have high repsiration rate
hen assessing whispered pectoriloquy, what would the nurse instruct the client to do?
Softly repeat the words 'one-two-three'.
During the lung assessment for a client with pneumonia, the nurse auscultates low-pitched, bubbling, moist sounds that persist from early inspiration to early expiration. How should the nurse document these sounds?
coarse
opioates can cause hyperventilation or hypoventialtion?
hypoventialtion
Respirations that gradually become faster and deeper than normal, then slower, alternating with periods of apnea
Cheyne-Stokes
While assessing the health of a client's respiratory system, the nurse is palpating for fremitus. What instruction should the nurse provide to the client during this component of assessment?
"Please say the number 'ninety-nine' for me.";
COPD
- tripod - barrel - clubbed - crackles
increasing difficulty taking in a deep breath
COPD
enhymphease what sound is expected
Hyperresonance
low-pitched bubbling, moist sounds that persists from early inspiration to early expiration
Coarse crackles
The nurse recognizes that which of the following is the strongest stimulus to breathe
Hypercapnia -increase of carbon dioxide in the blood (hypercapnia)
Rate that is decreased with a decrease in depth, and with an irregular pattern.
Hypoventilation
what conditon would cause hyperresonant percussion
Large pneumothorax
Patients usually describe such pain as sharp or stabbing, worsening with deep breathing or coughing
Pleurisy
When percussing the posterior lung fields, which of the following findings is expected?
Resonance over all lung fields
occurs suddenly, causing severe dyspnea and chest pain on the affected side. It is more common in thin young males.
Spontaneous pneumothorax
Vertical reference line of the thorax as a reference line for the posterior thorax?
Vertebral line
during cpr are hands placed ablove to xiphoid proceess
YEs
apex of lungs located
above clavicle
right meddle lobe is best auscualted using
anterior approach
shortness of breath and a nocturnal cough.
asthma
A respiratory rate less than 10 breaths per minute
bradypnea
inspiration
breathing in (inhalation)
breathing pattern is very labored and noisy, with occasional coughing
chronic bronchitis.
The nurse determines that the client is exhibiting Kussmaul respirations with hyperventilation. The nurse should contact the client's physician because this type of respiratory pattern usually indicates
diabetic ketoacidosis.
what is muscle for inspiration
diaphragm
What replaces resonance when fluid or solid tissue replaces air-containing lung or occupies the pleural space?
dullness
client's chest to be barrel shaped. The nurse would interpret this as indicating which of the following?
emphysema
Used to describe respirations that are increased in rate and depth.
hyperventilation