Assessment: Thorax And Lungs

Front 1

The thorax includes:

Back 1

skin, musculoskeletal,respiratory, urinary (kidneys)

Front 2

Subjective questions (3) for aging client

Back 2

1. any sob with daily actv.
2. hx COPD
3. Chestpain w/breathing?

Front 3

Pleuritic pain is felt ____in older adults than in younger adults

Back 3

less

Front 4

Position of patient during thorax assessment

Back 4

sitting upright
if in bed leaning forward
if in bed-rolled over to l sde

Front 5

continuous cough throughout day

Back 5

acute illness i.e. resp infex

Front 6

afternoon/evening cough

Back 6

exposure to irritants at work

Front 7

night cough

Back 7

postnasal drip,sinusitis

Front 8

early morning cough

Back 8

chronic bronchial inflammation (smokers)

Front 9

chronic bronchitis

Back 9

hx of produx cough for 3 months of the year for 2 years in a row

Front 10

white clear mucous

Back 10

colds, bronchitis, viral infx

Front 11

yellow or green mucous

Back 11

bacterial infex

Front 12

rust colored

Back 12

tb,pneumococcal pneumonia;

Front 13

pink, frothy

Back 13

pulm edema, red medications

Front 14

hacking cough

Back 14

mycoplasma pneumonia

Front 15

dry cough

Back 15

early heart failure

Front 16

barking cough

Back 16

croup

Front 17

congested cough

Back 17

colds, bronchitis, pneumonia

Front 18

orthopnea

Back 18

difficulty breathing when supine (how many pillows do you need--2-pillow orthopnea)

Front 19

Paroxysmal Nocturnal Dyspnea

Back 19

awakening from sleep with shorness of breath and needing to be upright to achieve comfort

Front 20

Rural Midwest people have risk of:

Back 20

histoplasmosis exposure

Front 21

Mexicans have risk of:

Back 21

coccidioidomycosis

Front 22

stone cutters etc... have risk of:

Back 22

silicosis

Front 23

asymetric chest expansion

Back 23

occurs with atelectasis or pneumonia, thoracic trauma, fractured ribs, pneumothorax

Front 24

decreased tactile fremitus

Back 24

occurs when anything obstructs transmission of vibrations from thickening, pneumothorax, or emphysema

Front 25

Rhoncal fremitus

Back 25

palpable with thick bronchial secretions

Front 26

Pleural frictions fremitus

Back 26

palpable with inflammation of pleura

Front 27

crepitus

Back 27

coarse crackling sensation palpable over the skin surface; subq emphysema

Front 28

diaphragmatic exursion

Back 28

tests level of diaphram; higher on right side

Front 29

bronchial (tracheal)NORMAL breath sounds

Back 29

high, loud, i<e, harsh hollow tubular found in trachea and larynx

Front 30

bronchovesicular NORMAL breath sound

Back 30

moderate pitch and amplitude; i=e, over major bronchi where fewer alveoli are

Front 31

vesicular breath sounds

Back 31

low pitch, soft amplitude I>E; rustling, like sound of wind in trees; over peripheral lung fields thru smaller bronchioles

Front 32

bronchophony

Back 32

very distinct voice transmission

Front 33

egophony

Back 33

E sounds like A

Front 34

whispered pectoriloquy

Back 34

disctict and clear (one two three)

Front 35

full bounding pulse is rated:

Back 35

3+

Front 36

normal pulse is rated:

Back 36

2+

Front 37

weak and thready pulse is:

Back 37

1+

Front 38

no pulse is

Back 38

0

Front 39

the first wave felt is:

Back 39

0

Front 40

clients do or do not need to remove their watch

Back 40

do not

Front 41

Palpatory BP mehtod

Back 41

either using radial/brachial artery (obliteration of pulse is systolic)

Front 42

korotkoff I=

Back 42

systolic

Front 43

korotkoff V=

Back 43

diastolic

Front 44

common error for bp measurement

Back 44

incorrect cuff size, arm level

Front 45

auscultatory gap

Back 45

the temp disappearance of korotkoff sounds during the end of phase I with reappearance of sounds in phase II

Front 46

auscultatory gap occurs in ___ % of population and is common with ____ due to noncompliant _______system

Back 46

occurs in 5% of population; common with hypertension due to a noncompliant arterial system

Front 47

If undetected auscultatory gap, results in

Back 47

falsly low systolic or falsly high diastolic reading

Front 48

Normal BP is

Back 48

120/80

Front 49

Prehypertension

Back 49

120-139/80-89

Front 50

HTN Stage 1:

Back 50

140-159/90-99

Front 51

HTN Stage 2:

Back 51

> or = 160 or > or = 100

Front 52

HIPPA

Back 52

Health Insurance Portability and Accountability; access to med records, limits on use of personal med info, confidential comm, complaints

Front 53

Mental status...inferred functioning due to "A,B,C,T"

Back 53

appearance, behavior, cognition, thought processes & perceptions

Front 54

IADL's

Back 54

housekeeping, shopping, cooking, etc....

Front 55

Pain assessment PPQRST

Back 55

Place, Quality, Rate, Symptoms, Time