NUR 2090 EXAM 2 ACTUAL QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED BY EXPERT
GRADED A++
what are the normal breath sounds?
- vesicular
- bronchovesicular
- bronchial
bronchial
- blowing, hollow sounds over the trachea
- expiration is markedly longer, louder, and higher pitched
bronchovesicular
- intermediate sounds over first and second anterior intercostal spaces and posteriorly
between scapula
- intensity and pitch is medium and similar during inspiration and expiration
vesicular
- soft and breezy sounds over all lung area except airways
- inspiration is markedly louder, longer, and higher pitched
fine crackles/rales
,- high-pitched, short popping sounds heard during inspiration and not cleared with
coughing
- sounds are discontinuous
- sound like rice crispies
- alveoli
coarse crackles/rales
- low-pitched, bubbling, moist sounds that may persist from early inspiration to early
expiration
- peripheral airways
rhonchi
- snoring sound
- low pitched and loud
- they are mainly heard on expiration, but can also be heard during inspiration
wheezes
- whistling sounds
- high-pitched sounds that occur when the bronchial tubes narrow
- they can be heard during inhalation, exhalation, or both
stridor
high-pitched barking usually caused by an airway obstruction
pleural friction rub
sounds like when you rub hands/skin together
what do we do during secretion mobilization?
, - chest percussion
- vibration
- postural drainage
- suctioning
- chest PT
postural drainage positions
- change position every 2 hours
- improves secretion clearance and O2
- drains into trachea
- atelectasis (only affected region)
- cystic fibrosis (all lobes)
1+ pitting edema
- slight indentation (2 mm)
- normal contours
- associated with interstitial fluid volume 30% above normal
2+ pitting edema
- deeper pit after pressing (4 mm)
- lasts longer than 1+
- fairly normal contour
3+ pitting edema
- deeper pit (6 mm)
- remains several seconds after pressing
- skin swelling obvious after general inspection
WITH COMPLETE SOLUTIONS VERIFIED BY EXPERT
GRADED A++
what are the normal breath sounds?
- vesicular
- bronchovesicular
- bronchial
bronchial
- blowing, hollow sounds over the trachea
- expiration is markedly longer, louder, and higher pitched
bronchovesicular
- intermediate sounds over first and second anterior intercostal spaces and posteriorly
between scapula
- intensity and pitch is medium and similar during inspiration and expiration
vesicular
- soft and breezy sounds over all lung area except airways
- inspiration is markedly louder, longer, and higher pitched
fine crackles/rales
,- high-pitched, short popping sounds heard during inspiration and not cleared with
coughing
- sounds are discontinuous
- sound like rice crispies
- alveoli
coarse crackles/rales
- low-pitched, bubbling, moist sounds that may persist from early inspiration to early
expiration
- peripheral airways
rhonchi
- snoring sound
- low pitched and loud
- they are mainly heard on expiration, but can also be heard during inspiration
wheezes
- whistling sounds
- high-pitched sounds that occur when the bronchial tubes narrow
- they can be heard during inhalation, exhalation, or both
stridor
high-pitched barking usually caused by an airway obstruction
pleural friction rub
sounds like when you rub hands/skin together
what do we do during secretion mobilization?
, - chest percussion
- vibration
- postural drainage
- suctioning
- chest PT
postural drainage positions
- change position every 2 hours
- improves secretion clearance and O2
- drains into trachea
- atelectasis (only affected region)
- cystic fibrosis (all lobes)
1+ pitting edema
- slight indentation (2 mm)
- normal contours
- associated with interstitial fluid volume 30% above normal
2+ pitting edema
- deeper pit after pressing (4 mm)
- lasts longer than 1+
- fairly normal contour
3+ pitting edema
- deeper pit (6 mm)
- remains several seconds after pressing
- skin swelling obvious after general inspection
