Patient Care Test 2

Carolina weighs 156 pounds and is 65 inches tall. Calculate her BMI.

(weight x 705)/(height)2 = 26.03

A woman's waist circumference is 32 inches and her hip circumference is 29 inches. Her waist-to-hip ratio is ____________ and considered _____________

1.10; above expected value

Healthy BMI

18.5-24.9

What is a 6 y/o normal respiratory rate?

20 rpm

Which tool is the best choice for a medical professional to use as a quick screening tool to assess a patient's dietary intake?

24 hour recall

The right lung has ___ lobes and the left lung has ___ lobes.

3, 2

With patient in bed awaiting to transfer to wheelchair, raise the head of the bed _____ degrees

30

Position wheelchair in a ______ degree angle to bed, lock brakes, remove footrests, lock bed brakes

45

Jenny comes to your office for a health screening. Her BP is 122/77, oral reading is 98.6 F, O2 is at 98%, and has a regular rhythm at the radial artery of 89 bpm along with 18 rpm. What information pertains to her pulse?

89 bpm

The right middle lobe is auscultated with the stethoscope where?

Anteriorly on the right at the 4th intercostal space

S2 represents the closure of?

Aortic and Pulmonic valves

The order of heart valve auscultation is the following (starting at the angle of Louis..downward):

Aortic, pulmonic, tricuspid, mitral

The ____________ separate the atria and ventricles.

Atrioventricular valves

When auscultating the posterior part of the chest the upper lobes are found?

Between C7 to T3

Which are the risk factors for hypertension?

Both parents had hypertension, hispanic or african american, experiencing persistent stress levels, high saturated fat diet.

These type of breath sounds are found at the site of the bronchi and are located anteriorly at the 1st and 2nd intercostal space & posteriorly in between the scapulae?

Bronchovesicular

A nurse is asking questions about the present health status of a young woman who has lost weight recently. Which question is the most appropriate when inquiring about present health status?

Describe the recent changes in your weight.

During _______, the ventricles are relaxed and the AV valves are ________ to allow blood to flow through the atria and ventricles.

Diastole, opened

True or False: Low-pitched wheezes are polyphonic sounds that can be cleared when coughing.

False

True or False: S1 split is due to the asynchronous closing of the aortic and pulmonic values.

False

True or False: The left lung has 3 lobes: left upper lobe, left middle lobe, and left lower lobe.

False

True or false: The semilunar valves are the tricuspid and mitral valves.

False

Deflating the blood pressure cuff too rapidly can cause the blood pressure reading to be

Falsely low

While auscultating heart sounds you heard a blowing/swooshing noise over the apex of the heart. You note when you lift up the chest piece of the stethoscope you can still hear the sound through the ear pieces (a thrill is also present as well). You would grade this heart murmur as:

Grade 6

You are auscultating a patient's lung sounds. During your assessment, you note there is a low-pitched harsh, grating sound that sounds like a pleural friction rub. However, you're not sure if this is a pleural friction rub or pericardial friction rub. What do you do next to determine the difference?

Have the patient hold their breath and note if the sound is still present

In order to auscultate for an aortic regurgitation heart murmur, what is the best position to place the patient in?

Have the patient sitting-up, leaning forward

Lubb sound

Heard first; caused by the tricuspid and the mitral valves closing between the atria and ventricles

This lung sound is continuous, high-pitched with musical instrument sound that is polyphonic and occurs mainly during expiration but can be present with inspiration as well:

High-pitched wheeze

Which of the following conditions can cause the extra heart sound S4?

Hypertrophic left ventricle

order of examination

Inspection Palpation Percussion Auscultation

While assessing a patient's lung sounds you note bronchial breath sounds in the peripheral lung fields. What could this finding represent?

Lung consolidation like with pneumonia

How do you accurately palpate the carotid pulses?

One finger is placed along the right and then the left medial sternocleidomastoid muscle.

What is the best way to assess for extra heart sounds, such as S3 and S4?

Place the patient on their left side and listen with the bell of the stethoscope over the apex of the heart.

S1 split can be caused by which of the following:

Right bundle branch block

It is best to listen with the bell of the stethoscope for

S3 and S4

Which body system is assessed primarily by inspection?

Skin

When auscultating the anterior part of the chest, specifically the apex of the lungs, it is best to auscultate where with the stethoscope?

Slightly above the clavicle

SCAT

Sports Concussion Assessment Tool; standardized evaluation of concussions

On auscultation of a patient in respiratory distress, you hear a high-pitched, harsh sound that is monophonic and is present only during inspiration. This is known as:

Stridor

The contraction phase of the heart so blood can be pumped through the body's system and lungs is known as?

Systole

Which patient has the least risk for unhealthy fat distribution?

The woman whose waist circumference is 30 inches and hip circumference is 38 inches. Hip to waist ratio of 0.789.

Bronchial breath sounds can be auscultated where?

Tracheal area

True or False: During auscultation, the anterior part of the chest mainly provides an assessment of the upper lobes of the right and left lungs, while the posterior part of the chest provides mainly provides an assessment of the lower lobes of the right and left lungs.

True

These breath sounds are found anteriorly and posteriorly throughout the peripheral lung fields?

Vesicular

gait belt

a device, usually a strap of cotton webbing with a buckle, designed to be placed around a patient's waist to assist with transferring and ambulating the patient

Bronchial breath sounds should only be heard in the tracheal area. It is __________ to hear them in the peripheral lung fields. If this happens, it could represent lung consolidation like with pneumonia.

abnormal

S3 is heard?

after S2

All Patients Take Medicine

aortic, pulmonic, tricuspid, mitral

S1 is best heard where?

apex of the heart

S2 split is due to the

asynchronous closing of the aortic and pulmonic values.

S2 is best heard where?

base of the heart

S2 is louder than S1 at the

base of the heart

S4 is heard?

before S1

popliteal pulse site

behind the knee

discontinuous breath sounds

fine and coarse crackles, pleural friction rub

Continuous breath sounds

high and low pitched wheezing, stridor

otoscope

instrument used for visual examination of the ear

What is the first heart sound?

lubb; closing of AV valves

gait

manner of walking

mTBI

mild traumatic brain injury (concussion)

Low-pitched wheezes are _______________ (have one sound quality to them) that are not usually cleared by coughing.

monophonic

semilunar valves

pulmonary and aortic

Dubb sound

semilunar valves closing

Korotkoff sounds

series of sounds that correspond to changes in blood flow through an artery as pressure is released

The pulmonic valve is auscultated on

the left of the sternum in 2nd intercostal space

What is a cause of the extra heart sounds known as S3?

ventricle filling due to fluid volume overload or heart failure

BMI formula

weight (kg) / height (m^2)