Physical Assessment, Part Ii

Front 1

Respiration Patterns: ___ to ___ breaths per minute is considered the breathing rate for a normal adult.

Back 1

10; 20

Front 2

Respiration Patterns:
Occasional ___ punctuate the normal breathing pattern and are purposeful to expand alveoli.

Back 2

sighs

Front 3

Respiration Patterns:
Rapid shallow breathing is known as?

Back 3

tachypnea

Front 4

Respiration Patterns:
Slow breathing is known as?

Back 4

bradypnea

Front 5

Respiration Patterns:
Increase in both rate and depth of breathing is known as?

Back 5

hyperventilation

Front 6

Respiration Patterns:
An irregular shallow pattern caused by an overdose of narcotics or anesthetics.

Back 6

hypoventilation

Front 7

Added sounds that are not normally heard in the lungs are called?

Back 7

adventitious breath sounds

Front 8

Adventitious breath sounds:
Discontinuous, high-pitched, short crackling, popping sounds heard during inspiration that are not cleared by coughing.

Back 8

fine crackles

Front 9

Adventitious breath sounds:
Loud, low-pitched, bubbling and gurgling sounds that start in early inspiration and may be present in expiration.

Back 9

coarse crackles

Front 10

Adventitious breath sounds:
Sounds like fine crackles, but do not last an are not pathologic; disappear after the first few breaths

Back 10

atelectatic crackles

Front 11

Adventitious breath sounds:
A very superficial sound that is coarse and low pitched.

Back 11

pleural friction rub

Front 12

Adventitious breath sounds:
Discrete, crackling sounds are known as ___ sounds.

Back 12

discontinuous

Front 13

What are the 4 discontinuous lungs sounds called?

Back 13

1. fine crackles
2. coarse crackles
3. atelectatic crackles
4. pleural friction rub

Front 14

Connected, musical lung sounds are called?

Back 14

continuous sounds

Front 15

What are the 3 continuous lung sounds?

Back 15

1. high-pitched wheeze
2. low-pitched wheeze
3. stridor

Front 16

Adventitious breath sounds:
High-pitched, musical squeaking sounds that sound polyphonic.

Back 16

High-pitched wheeze

Front 17

Adventitious breath sounds:
Low-pitched; monophonic single note, musical snoring, moaning sounds.

Back 17

Low-pitched wheeze

Front 18

Adventitious breath sounds:
High-pitched, monophonic, inspiratory, crowing sound, louder in neck than over chest wall.

Back 18

Stridor

Front 19

The PMI stands for ___ which is now called the ___ impulse.

Back 19

point of maximal impulse; apical

Front 20

Where is the PMI located?

Back 20

4th or 5th intercostal space, at or inside the midclavicular line.

Front 21

S1 is caused by the closure of the ___ valves.

Back 21

AV

Front 22

___ signals the beginning of systole.

Back 22

S1

Front 23

___ is loudest at the apex of the heart.

Back 23

S1

Front 24

___ is loudest at the base of the heart.

Back 24

S2

Front 25

S2 is caused by the closure of the ___ valves.

Back 25

semilunar

Front 26

___ coincides with the carotid artery pulse.

Back 26

S1

Front 27

___ coincides witht the R wave of the QRS complex.

Back 27

S1

Front 28

The location of aortic valve area?

Back 28

second right interspace

Front 29

The location of pulmonic valve area?

Back 29

second left interspace

Front 30

The location of tricuspid valve area?

Back 30

Left lower sternal border

Front 31

The location of mitral valve area?

Back 31

Fifth interspace at around left midclavicular line

Front 32

___ is heard immediately before S1.

Back 32

S4

Front 33

S4 is heard best at the ___.

Back 33

apex

Front 34

S3 is heard best at the ___.

Back 34

apex

Front 35

___ may be the earliest sign of heart failure.

Back 35

S3

Front 36

___ murmur occurs when the heart muscle relaxes between beats.

Back 36

diastolic

Front 37

___ murmur occurs when the heart muscle contracts.

Back 37

systolic

Front 38

Murmurs are graded according to ___. The intensity is described in terms of ___ grades.

Back 38

intensity; 6

Front 39

A ___ indicates a fatty buildup in the artery.

Back 39

bruit

Front 40

A ___ is a palpable vibration.

Back 40

thrill

Front 41

A ___ accompanies loud murmurs.

Back 41

thrill

Front 42

How do you detect a bruit?

Back 42

on study guide

Front 43

How do you detect a thrill?

Back 43

on study guide

Front 44

When it is it normal to have a distended jugular vein?

Back 44

When you are in a supine position.

Front 45

When is it abnormal to have a distended jugular vein?

Back 45

When you are in a sitting position.

Front 46

Other assessments that would indiate poor circulation?

Back 46

1. pallor
2. pain
3. pulse absent
4. low temperature

Front 47

What 3 things would indicate phlebitis?

Back 47

1. Warm temperature
2. Erythema
3. Positive Homans' sign

Front 48

Where is edema often found in the bedridden patient?

Back 48

dorsal lumber area (lower back)