QUESTIONS AND ANSWERS UPDATED
◉ what to ask about for lifestyle and personal habits for respiratory?
Answer: smoking tobacco or marijuana, use electronic cigarettes or
vaping, chewing tobacco, exposure to secondhand smoke, any
exposure to environmental hazards, use of oxygen or nebulizer
◉ what exam techniques are used to examine the respiratory
system? Answer: inspection, palpation, percussion, and auscultation
◉ how will you prepare mr cook for the exam? Answer: in gown for
skin to skin with stethoscope, quiet room, no talking, upright and
comfortable
◉ What is tripod postion? Answer: two hands on knee bent over
◉ what is abnormal skin inspections? Answer: pallor(paleness),
circumoral pallor(paleness around lips), cyanosis, ruddy(caused by
low O2)
◉ What are you checking for during respiration? Answer:
rate(number), depth(short small or large deep), symmetry,
audibility, mode of breathing
,◉ what 4 things do you inspect nails for? Answer: clubbing(caused
by COPD and smoking), color, shape and angle
◉ Mr. Cook respirations are normal depth, 30 breaths per minute.
The nurse would report he is...? Answer: tachypnea
◉ What two abnormal disorders of the spine cause breathing
problems? Answer: scoliosis and kyphosis
◉ what is a normal costal angle degree? Answer: 90 degrees
◉ What is a normal angle of ribs? what is it in the barrel chest?
Answer: normal: 45
abnormal: less than 45
◉ what is a normal costal angle? what is it in barrel chest? Answer:
normal: 90
abnormal: greater than 90
◉ What is a normal AP to transverse diameter? what is it in a barrel
chest? Answer: Normal: 2 to 1
Abnormal: 1 to 1
, ◉ what accessory muscles are used during respiration? Answer:
sternocleidomastoid, scalenes, trapezius, and abdominal
◉ What 2 respiratory test do you use palaption for? Answer: tactile
fremitus: say 99 feeling for vibrations
respiratory expansion: plave hangs in w have them breath in and out
◉ when would the nurse feel increased fremitus(vibrations)?
Answer: pneumonia
◉ what is penumonia Answer: muscuolas edema in the alveoli and
consolidation in lungs(filling with bacteria, RBC, WBC or fluid)
◉ When percussing respiratory what should you hear? Answer:
resonance over lung fields, flad/dullness over muscle and bone,
◉ What are the 4 breath sounds? Answer: tracheal, bronchial,
bronchovesicular, vesicular
◉ Define tracheal breath sounds? Answer: pitch: very loud and
relatively high
inspiratory is equal to expiratory sounds
Location: over the trachea and neck