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advanced pt assessment

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What type of breathing pattern is periodic in nature, with a gradual increase in depth and respiratory rate followed by a tapering of rate and depth with periods of apnea is? BH   Cheyne-Stokes  
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Name 4 indications of increased work of breathing. BH   1. tripod position 2. use of accessory muscles 3. pursed lip breathing 4. retractions  
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An increase in tactile fremitus indicates what? BH   an increase in density of the underlying tissue  
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What can digital clubbing indicate? KW   cardio pulmonary disease  
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What are you looking for when you inspect and palpate the abdomen? KW   evidence of distention and tenderness  
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The patient with heart disease who has an S3 and S4 is said to have a __________________. KW   gallop rythm  
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Most accurate method of measuring temperature? AF   rectal  
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What pressure is measured at the time the ventricles are contracting? AF   systolic  
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What is a normal ventilatory pattern? AF   1:2  
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What is a barrel chest? AF   the anterior/posterior diameter is greater than normal  
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What type of appearance would you have with a kyphotic spine? AF   humpback  
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What is a lateral curvature of the spine? AF   scoliosis  
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The presence of air beneath the skin in the subcutaneous tissues is called? BH   subcutaneous emphysema  
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What causes tracheal deviation toward the affected lung side? BH   atelectasis fibrosis  
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What causes tracheal deviation away from the affected lung side? BH   pleural effusion pneumothorax tension pneumothorax  
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Shortness of breath in the upright position is called? KW   platypnea  
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Coughing up blood-streaked sputum is called _____________. KW   hemoptysis  
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Vomiting blood is called _________________. KW   hematemesis  
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What are the four steps in doing a physical exam on your patient? KW   inspection palpation percussion asculation  
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Waht is the swelling of the lower extremities called? KW   pedal edema  
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What is another name for a pigeon chest? AF   pectus carinatum  
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What type of percussion sound would you hear in the presence of air trapping or air in a closed cavity? AF   hyperresonance  
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What 4 things do you assess sputum for? AF   color quantity viscosity smell  
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If your sputum is reddish brown, what does it indicate? AF   blood in the sputum  
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If you cough up more than 300ml of blood streaked sputum in 24 hours, what does that indicate? AF   massive hemoptysis  
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A flat percussion note is an indication of what? AF   pleural effusion  
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Normal breath sounds heard in the lungs and are found in the peripheral lungs is called? BH   vesicular breath sounds  
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This occurs when the two pleural layers rub together with more friction than normal? BH   pleural rub  
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When a patient awakens only with difficulty and might be able to reply to a few answers is refferred to as _________________________. BH   obtunded  
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An audible upper airway noise indicative of upper airway narrowing is called? BH   stridor  
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What is another name for crackles? BH   rales  
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Yellowish coloration of the skin, mucus membranes or conjunctiva of the eyes is called? BH   jaundice  
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An elevated pulse rate over 100 bpm indicates? KW   tachycardia  
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A significant decrease in pulse strength during spontanous inhalation is called? KW   pulsus paradoux  
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When respiratory disease reduces arterial oxygen content, __________________ may be detected especially around the lips. KW   cyanosis  
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To measure the SpO2, one should use a __________. KW   pulse oximeter  
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What is the technique called when you ask the patient to say 99?KW   vocal frmitus  
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