Flashcards
Chest & Lung
Cards in this deck (47)
- 1Anterior borders of the lungapex 3 cm above inner 3rd of clavicle
base 6th rib MCL - 2posterior borders of the lungapex C7
base T10 - 3examples of adult health history cuesorthopnea
dyspnea
cough
wheeze
coryza
chest pain
fatigue/lethargy
hx of smoking
obesity - 4health history cues in infantsincreased WOB
retractions
nasal flaring
grunting
poor feeding - 5What does a moist cough indicate?infection
COPD - 6what does a dry cough indicate?allergies
HIV
ACE inhibitors - 7What does a brassy cough indicate?tumor
croup - 8High pitched cough indicatesairway constriction
- 9Low pitched cough indicatessecretions
inflammation - 10Blood tinged sputum is seen in these conditionspneumonia
TB
sometimes cancer - 11Which is greater, the AP diameter or the transverse diameterTransverse diameter > AP diameter
- 12In a barrel chest, the ribs are...horizontal
- 13Barrel chest is seen in what conditions?normal aging
chronic asthma
emphysema - 14What is pectus excavatum?sunken sternum that may impinge on the heart
- 15What is pectus carinatum associated with?congenital deformity
rickets
acromegaly
Marfan's - 16Spine curvature greater than ____ indicates what condition, and what affect does it have on the lungs?45 degrees
scoliosis
decreased lung volume - 17What is kyphosis, and what conditions can it lead to?exaggerated posterior thoracic curve
reduced lung volume
breathing difficulties
fall risk
fractures
fatigue
heart health - 18What is Dahl's sign, and what is it associated with?hyperpigmentation of anterior thighs
tripod position in COPD - 19Hyperventilationincrease in depth and rate
- 20What is hypoventilation, and what causes it?decrease in depth and rate
overdose
anesthesia
splinting
prolonged bed rest - 21What is bradypnea?RR <10
- 22What is tachypnea?RR >24
- 23What are Biot's respirations, and whwhat conditions cause it?irregular pattern of 3-4 breaths follow by apnea
cycle lasts 10 seconds to 1 min
head trauma
brain abscess
heat stroke - 24What are Cheyne-Stokes respirations, and what are they associated with?respirations wax and wane in a regular pattern with periods of apnea
severe CHF
renal failure
meningitis
drug overdose - 25Kussmaul respirations are ___ & ____fast and deep
- 26What is Pickwickian syndrome?Obesity hypo-inflation syndrome
awake alveolar hypoventilation
alternative cause of hypoventilation cannot be found, with obesity causing excessive load on pulmonary system - 27Pickwickian BMI and PaCO2BMI > 30
PaCO2 >45 - 28Pickwickian syndrome symptomsexcessive daytime sleepiness
SOB
disturbed sleep
flushed or bluish tint to skin
high blood pressure
hepatomegaly
high RBCs - 29How to perform respiratory excursion1. place hands on chest wall
2. thumbs at T9 or T10
3. slide fingers to pinch small amount of tissue
4. pt takes deep breath, thumbs should move apart symmetrically - 30What does asymmetrical respiratory excursion indicate?atelectasis
pneumonia
thoracic trauma - 31How to perform tactile fremitus1. ulnar edges of hand on pt
2. pt repeats "99" - 32What causes increased fremitus?compression or consolidation of lung tissue
lobar pneumonia - 33What causes decreased fremitus?obstruction
effusion
pneumothorax
emphysema - 34Upon percussion, an infant's lungs produce what sound?Hyperresonance throughout
- 35Dullness on percussionorgans
pneumonia
atelectasis
tumor - 36flatness on percussionscapula
large pleural effusion - 37The lung should sound ____ on percussionresonant
- 38Hyperresonance on percussion ioverinflation
emphysema
asthma - 39tympany on percussiongastric air bubble
air-filled bowel - 40What is a normal diaphragmatic excursion?3 to 5 cm
- 41Tracheal breath sounds location, volume, pitch, I/Eheard over trachea
loud
high pitch
I = E - 42Bronchial breath sounds location, volume, pitch, I/Eover manubrium
loud
high pitch
E>I - 43Bronchovesicular sounds location, volume, pitch, I/Emain bronchus area
moderate volume
moderate pitch
I = E - 44vesicular breath sounds location, volume, pitch, I/Eover lung fields
soft
low pitch
I>E - 45Bronchophony normal & abnormal, what this meanspt says "99" on auscultation
normal = muffled, indistinct
abnormal = clear voice
indicates lung consolidation - 46Egophony normal, abnormal, and what this meanspt says "E" upon auscultation
normal = muffled
abnormal = E to A change
indicates lung consolidation - 47Whispered pectoriloquy normal, annormal, and what this meanspt whispers 1,2,3 upon auscultation
normal = faint, indistinct
abnormal = loud and clear
indicates lung consolidation
Information
- Description
- Nursing Flashcards on Chest & Lung, created by Erin Poole on 23/10/2026.
- Created by
- Erin Poole
- Views
- 0
- Rating