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NUR 125 exam1
NUR 125 exam 1
| Question | Answer |
|---|---|
| if you can palpate pain in chest its... | not cardiac |
| used to determine density of tissue, resonance over air filled lung tissue | percussion |
| hear air movement through tracheobronchial tree. always against skin | auscultation |
| lung sound heard over lung periphery, air moving in small airways, soft breezy, low pitched inpiratory, normal | vesicular |
| heard between scapula posterior, anterior over bronchoiles to sternum at 1&2 intercostal spaces, air moving through larger airways, more blowing, medium pitch inspiration=expiration, normal | bronchovesicular |
| loud high pitched and hollow, expiration > inspiration, normal in trachea; abnormal in lung fields | bronchial sounds |
| added sounds over normal breath sounds, crackle, wheeze, | adventitious sounds |
| deep breath/cough before auscultation, pt turn head away to take deep breaths | |
| resp rate 16, regular and nono labored, symmetrical chest expansion AP,transverse diameter, breath sounds clear to auscultation, apex to base | |
| base of hear is up | |
| part of heart that is down, touches anterior chest wall at 4-5 ics medial to l mcl | apex of heart |
| place where heart beat can be examined with inspection and palpation, left MCL at 4-5 ICS | point of maximal impulse |
| first heart sound caused by closure of AV valves (mitral/tricuspid) beginning of systole, ventricle contractions | S1 lub at apex |
| second heart sound, caused by closure of semilunar valves (aortic and pulmonic), beginning of diastole (filling) | S2 dub at base |
| listening posts: aortic | 2nd ICS R sternal border |
| Pulmonic | 2nd ICS L sternal border |
| Erbs point | 3rd ICS L sternum |
| Tricuspid | 4th ICS L sternum |
| Mitral | 5th ICS L of sternum, 1/2 to MCL |
| to auscultate pts heart sounds pt needs to be in what position | semi fowlers |
| for S1 and S2 sounds use what of stethoscope | diaphram press firm |
| Use what of stethoscope to hear extra sounds between S1 and S2 | bell press lighly |
| lack of hair on lower extremities means | lack of blood supply |
| best time for self breast exam | 4-7 days after menses |
| breast cancer lesions are | hard, fixed, nontender and irregular in shape |
| fibrocystic breast disease is | benign, lumpy, painful breasts during menses, cysts are soft, well differentiated and movable |
| visual acuity nerves | CN II |
| extraocular movement | CN II, IV, VI |
| blink reflex | CN V |
| PERRLA | CN III |
| hearing acuity | CN VIII |
| CN V | trigeminal |
| CN VII | facial |
| periferal vision | CN II |
| uvula rises | CN X |
| tongue | CN XII |
| muscle strength and neck should muscles | CN XI |
| to hear high pitched sounds | diaphragm |
| hear low pitched sounds | bell |
Created by:
vstein
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