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NSCC pt assessment
NSCC Physical Assessment
| Question | Answer |
|---|---|
| 4 components of assessment | observation, palpation, Percussion auscultation, |
| Tracheal shift may occur with a pneumothorax. With a right sided pneumothorax, what direction will the trachea go to ? | To the opposite side. So it will go to the left (contralateral) side. |
| Distal enlargement of the phalanges of the hands and feet. Sometimes seen in cardiac, pulm, cancer, and other conditions. | Digital clubbing |
| Sudden awakening during night. It is often associated with CHF. | Paroxsysmal noct. dyspnea |
| Swelling of ankles especially in dependent position | Pedal edema |
| Rt. Heart failure that is due to pulm disease | Cor Pulmonale |
| Breath sounds heard frequently in CHF | crackles |
| 3 causes of crackles | pulm edema, fibrosis, atelectasis |
| upper airway adventitious sound, heard esp on inspiration | stridor |