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NURS 623 : HEALTH ASSESSMENT : MODULE 7 TEST QUESTIONS WITH CORRECT ANSWERS
Typology: Exams
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what should be suspected when younger patients or nonsmokers develop findings consistent with COPD? -- Answer โโ alpha-1 antitrypsin deficiency COPD is actually made up on what two problems? -- Answer โโ 1. chronic bronchitis
what is the most common symptom associated with pleural effusion -- Answer โโ dyspnea pain at the costosternal cartilage site - it can follow trauma to the chest wall -- Answer โโ costochondritis of the axillary lymph nodes, which ones are most likely to be palpable during physical examination? -- Answer โโ central nodes what are the final common pathway for all of the axillary lymph nodes? -- Answer โโ apical nodes where do you insert the needle for decompression of a tension pneumothorax? -- Answer โโ 2nd intercostal space location for chest tube insertion -- Answer โโ intercostal space between the 4th and 5th ribs lower margin of a well-placed endotracheal tube on a chest x-ray -- Answer โโ level of the 4th rib landmark for thoracentesis -- Answer โโ intercostal space between the 7ths and the 8ths rib, immediately superior to the 8th rib where does the inferior tip of the scapula lie? -- Answer โโ 7th rib or intercostal space an anatomical region in the midaxillary line formed by the lateral border of the pectoralis major muscle anteriorly, lateral border of the latissimus dorsi posteriorly, and the nipple line
what is the most common cause of an acute cough? -- Answer โโ viral upper respiratory infections sputum that is translucent, white, or gray and seen in viral infections and cystic fibrosis -- Answer โโ mucoid sputum sputum that is yellow green and often accompanies bacterial pneumonia -- Answer โโ purulent sputum foul-smelling sputum is present in what? -- Answer โโ anaerobic lung abscess thick tenacious sputum is present in what? -- Answer โโ cystic fibrosis large volumes of purulent sputum are present in what two diseases? -- Answer โโ 1. bronchiectasis
6 possible causes of chest pain in the parietal pleura -- Answer โโ 1. pericarditis
blind, inflammatory tube-like structures opening onto the skin -- Answer โโ sinus tracts although rare, what do sinus tracts suggest? -- Answer โโ infection of the underlying pleura and lung Examining the range and symmetry of rib cage as it expands and contracts during inspiration -- Answer โโ lung excursion the palpable vibrations that are transmitted through the bronchopulmonary tree to the chest wall as the patient is speaking and is normally symmetric -- Answer โโ fremitus what should you do if a louder note is needed for percussion? -- Answer โโ apply more pressure with the pleximeter finger 5 percussion notes -- Answer โโ 1. flat
pathologic example when you would hear a dull percussive note over the lungs -- Answer โโ lobar pneumonia pathologic example when you would hear a resonant percussive note over the lungs -- Answer โโ simple chronic bronchitis 2 pathologic examples when you would hear a hyperressonant percussive note over the lungs -- Answer โโ 1. COPD
louder, clearer voice sounds heard when auscultating lungs -- Answer โโ bronchophony ______-minute walk test is used to predict clinical outcomes in most patients with COPD -- Answer โโ 6 Patients >60 years with a forced expiratory time of >(#) seconds are four times more likely to have COPD -- Answer โโ 9 2 screening tests for tuberculosis -- Answer โโ 1. TST
G: Gender male what does sighing respiration suggest? -- Answer โโ hyperventilation symptom periods of deep breathing alternating with periods of apnea -- Answer โโ Cheyne- Stokes Breathing periods of apnea alternating irregularly with a series of shallow breaths of equal depth -- Answer โโ Ataxic breathing 3 causes of Biot Breathing -- Answer โโ 1. meningitis
palpation of the breasts is best performed with the patient in what position? -- Answer โโ supine how long does a thorough examination take for each breast? -- Answer โโ 3 minutes what is the currently the best validated technique for detecting breast masses? -- Answer โโ vertical strip pattern what do tender subareolar cords suggest? -- Answer โโ mammary duct ectasia clear, serous, green, black or nonbloody discharges that are multiductal are usually (malignant/ benign) -- Answer โโ benign what is the preferred patient position for examining the axillae -- Answer โโ sitting thickening and darkening of skin near axillary region, A/w Diabetes Type II and gastric carcinoma -- Answer โโ Acanthosis nigricans Breast cancer risk model; Includes personal risk factors, FDR only; Underestimates hereditary risk, ignores paternal fhx/age of onset -- Answer โโ Gail Model three most common breast masses -- Answer โโ 1. fibroadenoma (benign tumor)
5 visible signs of breast cancer -- Answer โโ 1. abnormal contours