name the correct measurements and documentation for:
respiratory rate
type of breath pattern
breath effort
12-20
regular or irregular
labored or unlabored
what are the measurements for HR?
60-100
Identify the correct equipment needed for assessment thorax and lungs, heart/peripheral vascular system.
Stethoscope for lungs, doppler and blood pressure for heart
what are types of breath sounds?
crackles, wheezes, rails, clear, diminshed
S1 and S2 sound like:
lub and dub
Identify the correct order of the component parts of physical assessment (inspection, auscultation, palpation, percussion)?
1. Inspection
2. Palpation
3. Percussion-not for heart
4. Auscultation
what is the O2 sat rate
95-100
arterial insufficency symptoms
- Diminished or absent pulses
- Pale, cool extremities, dusky red when lowered
- Delayed capillary refill
- Pain with elevation
- Numbness, tingling
Describe correct Instructions That the patient should receive prior to assessment of: (a) thorax and lungs and (b) heart/peripheral vascular system.
- Remain still and breathe normally
- Loosen any tight clothing around the chest area
- Follow instructions for deep breathing or coughing if requested
- Inform the nurse of any pain, tingling or other discomfort during the exam
Where would you hear rails? When would you hear wheezes?
in the lower part of the lungs and during inspiration
venous insufficiency symptoms
- Edema in dependent areas
- Distended veins
- Skin discoloration (brown, cyanosis)
- Heaviness in extremities
- Ulcer formation
Apply principles of safety, infection control, and privacy during the assessment.
Take pauses when breathing so the patient dont get dizzy, wear a loose shirt, hand hygiene
true or false?
The use of acessory muscles is good.
false
we are going to pass this exam?
YES
Arterial insufficiency is due to
venous insufficiency results from
obstructed arterial blood flow
impaired venous return and pooling of blood
factors that can affect the thorax and vascular system
enviornmental, social, meds, family history, culture, lifestyle, gender, age, pregnancy