Exam 2: Basic Patient Assessment: Vital Signs and Breath Sounds

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What breath sounds are normally heard over the sternum at around the second intercostal space,between the scapulae and over the right apex of the lung; are somewhat muted; are without a pause between inspiration and expiration; and have inspiratory and expiratory phases roughly equal in length?

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B

Which type of breath sound would be described as low-pitched,soft sounds that have an inspiratory phase longer than the expiratory phase?

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D

What breath sound is described as a loud,higher pitched breath sound with the expiratory phase longer than the inspiratory phase,with a short pause between phases?

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C

What is described as having a rapid upstroke and a rapid downstroke tracing,with a maximum point of intensity between the peak and the base of the pulse pressure?

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The practitioner places a sphygmomanometer on the patient's upper arm.The brachial artery is palpated and the cuff is inflated until the pulse disappears at 110 mmHg.How should this be recorded in the patient's chart?

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What are abnormal breath sounds called that are generated by air passing through a narrowed lumen?

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Which of the following environmental conditions should be considered when auscultating a patient's chest? I.Close the door before initiating the examination II.The temperature should be comfortable,especially not too cold III.Turn off noise producing appliances in the room

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A patient is brought to the emergency department after being involved in a motor vehicle accident.She has had massive blood loss and hypotension.What should the practitioner expect the heart rate to be?

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What is the pressure called that is measured at the time the ventricles are at rest?

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How should the patient breathe when you are auscultating the chest?

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Since the stethoscope should be used on bare skin,discuss what the problems can be caused by hair under the stethoscope and large breasts and how to correct these problems.

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The practitioner records a carotid pulse of 45/minute.How should this be documented in the patient's chart?

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The patient has a blood pressure of 150/100.Which of the following could cause this? I.Renal failure/fluid retention II.Hormonal imbalances III.Shock IV.Emotional stress V.Depressant drugs

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A patient is admitted to the emergency department after being involved in a construction accident.The physician suspects the patient has a right tension pneumothorax.How would you assess the patient for a pneumothorax and why?

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A child has a respiratory rate of 30/minute.This is called _____________.

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The practitioner auscultates the chest of an asthmatic patient and notes wheezing bilaterally.When describing the wheezing,what things should be documented when charting these breath sounds? I.Location II.Intensity III.Inspiratory or expiratory IV.Pitch of the wheezing sounds

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What pressure is being measured during a blood pressure reading during the ventricular contraction?

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A patient has a pulse rate of 50 beats per minute.Which of the following could be the cause of this? I.Hypothermia II.Emotional stress III.Vagal stimulus IV.Depressant drugs V.Hypoxemia

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Abnormal breath sounds are often referred to as ___________________.

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Which breath sounds are heard above the clavicular notch,are very harsh and quite high-pitched,and have the expiratory phase lasting a little longer than the inspiratory phase?

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