Health Assess. Quiz

Ch 13,18,19,20,22

190 cards   |   Total Attempts: 182
  

Cards In This Set

Front Back
When a nurse assesses a 78-year old client with pneumonia, which finding should be evaluated first?
-breath sounds
-airway patency
-respiratory rate
-percussion sounds
Airway patency
A 45-year old man has been admitted to the hospital with pumonary embolism. which of the following symptoms should the nurse report to the primary health practitioner immediately?
-chest pain
-shortness of breath
-respirations 20 breaths/minute
-productive cough
Chest pain
A 62 year old woman comes to the clinic with an exacerbation of asthma. which of the following findings indicate worsening status of her asthma?
-increased wheezing
-bloody sputum
-increased tympany
-flushed red skin
Increased wheezing
A 3 year old boy is in the emergency department with stridor, intercostal and supraclivicular retractions, and respiratory rate of 40. what type of situation is this?
-stable
-acute
-urgent
-emergency
Emergency
A 92 year-old woman with a history of COPD presents with increasing shortness of breath, decreased lung sounds in the bases, increased edema, and weight gain. what is the most likely problem?
-impaired gas exchange
-ineffective airway clearance
-activity intolerance
-excess fluid volume
Excess fluid volume
Which of the following factors is most likely to increase the risk of a patient developing COPD?
-increased age
-immune suppression
-smoking
-occupational exposure
Smoking
When the nurse assesses the client with respiratory symptoms, which of the following complaints should be evaluated first?
-chest pain
-shortness of breath
-cough
-sputum
Shortness of breath
When assessing the client with atelectasis, what assessment findings are expected? choose all that appy.
-shortness of breath
-decreased breath sounds
-decreased oxygen saturation
-increased tactile fremitus
-hyper-resonance
The first four
Which assessments would indicate that the inhaled bronchodilators have their desired effect?
-wheezing, O2Saturation 94%, pallor
-Vesicular breath sounds, O2saturation 96%, pink
-bronchial breath sounds, O2 saturation 100% Erythema
-crackles, O2 Saturation 90%, cyanosis
Vesicular breath sounds, O2Saturation 96%, pink
The nurse auscultates bronchovesicular breath sounds in the 2nd ICS near the sternum. The nurse interprets this as:
-a normal finding over the trachea
-a normal finding over the bronchi
-an abnormal finding over the lung
-an abnormal finding over the trachea
-a normal finding over the bronchi
Anterior and posterior landmarks are used for?
To identify the location of lung fields

Reference lines include:
-the midsternal anterior axillary
-mid-clavicular line
-verbral line
-posterior axillary line
-midaxillary line

Give location of lung
Anteriorly, the apex of the lung extends approximately 2 to 4cm above the inner third of the clavicle and posteriorly the base is near T10
With aging the lungs lose:
Elasticity
respiratory strength decreases
cartilage loses flexibility
bones lose density

Dyspnea
Decreased level of consciousness, respirations greater than 30 breaths/min, oxygen saturation less than 90, retractions, and accessory muscle use may indicate an acute or emergency situation