Nur 143 Module G Questions With Complete Solutions
For proper oxygenation, these steps must be possible:
diaphragm muscles have to contract and descend
intercostal muscles have to lift ribs upward and outward
sternum has to push forward
Atalectasis
collapsed lung
What is the process to interview and obtain health history related
to lung and thorax?
Ask about being tired, shortness of breath
What are general lung and thorax assessment using techniques
of inspection?
• Anterior and posterior thorax
• Count respirations and note the quality (depth, difficulty)
• Includes integument
• Are both sides rising and falling bilaterally?
• Are the shoulder blades even? (between 2nd & 7th rib)
• Symmetry present?
What is the general lung/thorax assessment of palpation and
why is it important?
Need to know if there is tenderness, bumps, lumps, vibrations
Use deliberate palpations from top of ribs to bottom of ribs - btw
breasts of women
, Low pitched breath sounds are called _________ breath sounds.
vesicular
High-pitched, harsh blowing sounds over trachea/larynx are
called _____ breath sounds.
bronchial
Medium pitch and sounds heard over mainstem bronchi are
called _______ breath sounds.
broncheovesicular
Why is important to note any possibility of scoliosis or vertebral
abnormality?
It could impact deep ventilation and impair the ability for deep
breathing
What are the steps for auscultating lungs
2nd intercostal space on one side, and move to other side
Repeat on every other intercostal space - like a stair step pattern
Do this on the front and back
Lastly, auscultate in 3 places under the armpit - in a triangle
If a patient has pneumonia, where is the sound heard the best?
Under the arm - in the 3 places in the armpit
bronchovesicular breath sounds
medium-pitched and quieter sounds normally heard over the
mainstem bronchi
vesicular breath sounds
For proper oxygenation, these steps must be possible:
diaphragm muscles have to contract and descend
intercostal muscles have to lift ribs upward and outward
sternum has to push forward
Atalectasis
collapsed lung
What is the process to interview and obtain health history related
to lung and thorax?
Ask about being tired, shortness of breath
What are general lung and thorax assessment using techniques
of inspection?
• Anterior and posterior thorax
• Count respirations and note the quality (depth, difficulty)
• Includes integument
• Are both sides rising and falling bilaterally?
• Are the shoulder blades even? (between 2nd & 7th rib)
• Symmetry present?
What is the general lung/thorax assessment of palpation and
why is it important?
Need to know if there is tenderness, bumps, lumps, vibrations
Use deliberate palpations from top of ribs to bottom of ribs - btw
breasts of women
, Low pitched breath sounds are called _________ breath sounds.
vesicular
High-pitched, harsh blowing sounds over trachea/larynx are
called _____ breath sounds.
bronchial
Medium pitch and sounds heard over mainstem bronchi are
called _______ breath sounds.
broncheovesicular
Why is important to note any possibility of scoliosis or vertebral
abnormality?
It could impact deep ventilation and impair the ability for deep
breathing
What are the steps for auscultating lungs
2nd intercostal space on one side, and move to other side
Repeat on every other intercostal space - like a stair step pattern
Do this on the front and back
Lastly, auscultate in 3 places under the armpit - in a triangle
If a patient has pneumonia, where is the sound heard the best?
Under the arm - in the 3 places in the armpit
bronchovesicular breath sounds
medium-pitched and quieter sounds normally heard over the
mainstem bronchi
vesicular breath sounds
