COMPLETE QUESTIONS AND
VERIFIED ANSWERS|ACTUAL
EXAM| ACCURATE SOLUTIONS
WITH RATIONALES/ALREADY
GRADED A+
Ascites - 🧠 ANSWER ✔✔accumulation of fluid in the abdomen caused by
LIVER FAILURE
Venous distention - 🧠 ANSWER ✔✔-occurs with CHF
,-seen with obstructive patients (seen in exhalation phase)
Capillary refill - 🧠 ANSWER ✔✔-indication of peripheral circulation
-Normal < 3 seconds
Jaundice skin color - 🧠 ANSWER ✔✔-increase in bilirubin.
-mostly in face and trunk
Bradypnea (oligopnea) - 🧠 ANSWER ✔✔-decreased respiratory rate
(<12bpm) variable depth and irregular rhythm
Hyperpnea - 🧠 ANSWER ✔✔-increased rate, depth, with regular rhythm
Cheyne-Stokes - 🧠 ANSWER ✔✔-gradually increasing then decreasing rate
and depth in a cycle lasting from 30 - 180 secs, with apnea up to 60 secs
-increased ICP, meningitis, overdose
Biots - 🧠 ANSWER ✔✔-increased rate and depth with irregular periods of
apnea
-CNS problem, head/brain injury
,Kussmaul's - 🧠 ANSWER ✔✔-increased rate, depth, irregular rhythm,
breathing sounds labored
-Raspy voice
Apneustic - 🧠 ANSWER ✔✔prolonged gasping inspiration followed by
extremely short, insufficient expiration
-respiratory center problems, trauma, tumor
cachectic - 🧠 ANSWER ✔✔muscle atrophy/loss of muscle tone
retractions - 🧠 ANSWER ✔✔-chest moves inward during inspiratory efforts
instead of outward
-blocked airway in adults = INTUBATE
-RDS in infants
Character of cough - 🧠 ANSWER ✔✔-dry, non-productive cough may
indicate tumor in the lungs or asthma
-productive cough may indicate infection
evidence of difficult airway - 🧠 ANSWER ✔✔-short receding mandible (chin)
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, -enlarged tongue (macroglossia)
-bull neck
-limited neck range-of-motion
pulsus paradoxus - 🧠 ANSWER ✔✔-pulse/blood pressure varies with
respiration. may indicate severe air trapping (status asthmaticus or cardiac
tamponade)
tactile fremitus - 🧠 ANSWER ✔✔-vibrations felt by hand on chest wall
-vocal fremitus: voice vibrations on the chest wall
-pleural rub fremitus: grating sensation due to roughened pleural spaces
-Rhonchial fremitus(palpable rhonchi): secretions in airways
Crepitus - 🧠 ANSWER ✔✔-bubbles of air under skin that can be palpated
and indicates subcutaneous emphysema
Resonant percussion - 🧠 ANSWER ✔✔-hollow sound
-normal lungs
Flat percussion - 🧠 ANSWER ✔✔-heard over sternum, muscles, or areas of
atelectasis