Questions and Correct Detailed Answers
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hyperventilation - CORRECT ANSWER-term for fast and deep, heavy
respirations, can be caused by exercise, anxiety, and CNS and metabolic diseases
hyperpnea - CORRECT ANSWER-term for abnormally deep respirations
kussmaul respirations - CORRECT ANSWER-deep and mostly rapid respirations,
used to describe resp effort of metabolic acidosis
cheyne stokes respirations - CORRECT ANSWER-regular breathing with
intervals of apnea by crescendo decrescendo breathing; can be seen in sleeping
pts, but mostly pts who are very ill, esp with brain damage
inspect the chest - CORRECT ANSWER-without clothes on; 1st assess shape
and size; 2nd check for symmetry; 3rd thoracic landmarks; 4th color of skin; 5th
check for supernumerary nipples; 6th superficial venous patterns; and 7th
observe for rib prominence
,thoracic landmarks - CORRECT ANSWER-midline trachea, costal angle, angle of
ribs, intercostal spaces, suprasternal notch
symmetry of chest - CORRECT ANSWER-thoracic expansion at costal angle,
w/o use of accessory muscles
hx questions for cc of resp issue - CORRECT ANSWER-What is the nature of
your cough?; Do you produce any sputum?; Is your cough related to activity?;
What position are you most comfortable in?; How many pillows do you sleep with
at night?; Is your SOB related to activity?
normal respirations - CORRECT ANSWER-rate between 12 to 20/min; ratio of
resp to heart beats= 1:4; pt should breathe easily, regularly w/o apparent distress;
pattern should be even, not too shallow or too deep
hypopnea - CORRECT ANSWER-term for abnormally shallow respirations
tachypnea - CORRECT ANSWER-term for resp rate greater than 20, but
consistent and may occur during hyperventilation; often a symptom of pain
, bradypnea - CORRECT ANSWER-term for resp rate less than 12; may indicate
neurologic or electrolyte disturbances, infection, or conscious response to protect
against the pain of pleurisy or other irritative pneumonia. Can also be 2/2 level of
cardio fitness
biot respirations - CORRECT ANSWER-irregular breathing that varies in depth
and is interrupted irregularly by intervals of apnea; associated with severe and
persistent increased intracranial pressure, resp compromise from drug poisoning,
or brain damage at the medulla and generally equals poor prognosis
peripheral areas related to respiratory assessment - CORRECT ANSWER-
observe the lips and nails for cyanosis or pallor; lips for pursing; fingers for
clubbing; and alae nasi for flaring
pleural friction rub - CORRECT ANSWER-dry, rubbing, or grating sound;
palpable, coarse, grating vibration; usually on inspiration; caused by inflammation
of the pleural surfaces; think feel of leather rubbing on leather
thoracic expansion - CORRECT ANSWER-stand behind patient and place
thumbs along spinal process at level of 10th rib, with palms lightly in contact with
the posterolateral surfaces; watch the thumbs during quiet and deep breathing;
loss of symmetry = problem on either 1 or both sides.