Health Assessment - Exam 2: Lungs & Chest Verified and Updated Questions and Answers (100% Correct Answers)

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Health Assessment - Exam 2: Lungs & Chest
Verified and Updated Questions and
Answers (100% Correct Answers)
Lungs - Pertinent Social History
Answer: Exposures:


• Recent Travel


• Hobbies


• Employment


- Environment


• Air quality/Hazards


• Flu/TB/CAP


- Ill contacts/living environment


Tobacco Use/exposure (2nd hand)


• Type


• Pack years


• Onset


• Attempts to quit-AAAA


Alcohol and drug use


Nutritional Status


• Obese? Emaciated?


Exercise?

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• Tolerance, location, air exposure?


Lungs - Pertinent Family History
Answer: • Tuberculosis


• Cystic Fibrosis


• Emphysema/COPD


• Cancer- smokers?


• Allergies


• Asthma


• Systemic Disease


- RA, SLE, Sarcoidosis


• Dermatitis


- Eczema


General Review of Respiratory System - General to specific
Answer: • Any chest pain or trouble breathing?


• Cough? Productive or not?


• Shortness of breath?


• Wheezing?


• Feeling tired?


• Exercise intolerance?


• Orthopnea

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S: HPI and Patient Hx - Lungs
Answer: HPI


• Timing, Location, Setting Quality , Severity, Relieving and exacerbating factors,
Associated symptoms OR status of chronic illness


• Varies based on CC


Past Medical History


Chronic Illnesses


• Asthma, COPD, TB, HIV, sarcoidosis, SLE


• CHF? CAD?


• Cancer


Surgeries/Hospitalizations/Trauma


• Pneumonia, lobectomies, exacerbations of chronic illness/NCDs


Testing


• CXR, CT, PPD, Pulmonary Function Tests?


Immunizations


• Flu, Pneumovax, Childhood immunizations


Medications


• Inhalers, Steroids, Antibiotics, Oral Contraceptives, Anticoagulants, Ace-I


Sleep Apnea- Diagnosed? Controlled?


Systems to Review for Respiratory CC
Answer: • Constitutional-Fever, fatigue, night sweats, weight loss or gain, use of 02