NURS EC Throx and Lung Questions

NAME: ________________________________________________ Instructor: _______________________________________ TWU College of Nursing – NURS3614 – Assessment Thorax and Lungs Homework (Chapter 19) Name: ___________________________________ Instructor’s Name: __________________________________ 1) Describe the most important points to include in the health history for the respiratory system (see p. 416): 2) What could be the cause of the cough that occurs at these times (see p. 417)? • • • • continuously throughout day in the afternoon/evening worse at night in the early morning 3) Describe the appearance of a barrel chest. In what chronic condition does this occur and what causes it? 4) Characteristics of normal breath sounds (see page 425) Breath sound Pitch Amplitude Duration [include name & line drawing] Page 2 of 5 Quality Normal Location Name: ___________________________________ Instructor’s Name: __________________________________ 5) What can cause decreased or absent breath sounds? 6) Briefly describe the following adventitious sounds (see pages 441-442): • Crackles [Fine & Coarse]: • Atelectatic crackles: • Wheeze [High-pitched sibilant & Low-pitched rhonchi]: • Stridor: • Which of these may be life-threatening? Why? 7a) What is the expected finding when palpating chest expansion? 7b) What is the significance of any lag or unequal chest expansion? 8) List five [5] factors that can cause extraneous noise during auscultation of the lungs (p. 424-425): Page 3 of 5 Name: ___________________________________ Instructor’s Name: __________________________________ 9) Use Table 19-9 (p. 445-452) and identify the listed findings for each condition below: Atelectasis/ findings on palpation: Pneumonia/ findings on percussion: Chronic Bronchitis/ findings on inspection: Emphysema/ findings on inspection: Asthma/ findings on auscultation (include adventitious sounds): Pneumothorax/ findings on inspection & palpation: Tuberculosis/ subjective findings during health history: Pulmonary Embolism/ findings on inspection: COVID-19 Viral Pneumonia/subjective findings during health history: Page 4 of 5 Name: ___________________________________ Instructor’s Name: __________________________________ Page 5 of 5