Cnur 107- Respiratory System (6) Study Guide Graded A+

What can affect the intensity of the tactile fremitus? {Ans: -thickness of chest wall -anything obstructs transmission of vibration (chronic lung conditions, consolidation, etc.)}What are the contents of the mediastinum? {Ans: -heart -esophogus -trachea -great vessels}Posterior Area Reference Lines {Ans: -vertebral (midspinal), scapular}What does an increase in small airway closure cause? {Ans: -decreases vital capacity: amount of air a person can forcefully exhale from lungs after taking a deep breath -increases residual volume: amount of air left in lungs after forceful air expires}Wheezing {Ans: -high pitches, musical sound (air going through narrowed airway)}What is involved in a thorax and lung exam? {Ans: -history -inspection -palpation -percussion -auscultation -documentation}How many lobes are on the right side? {Ans: 3 -RUL -RLL -RML}Posterior Chest Expansion {Ans: -place thumbs at level T9 or T10 -pinch skin folds by pushing hands closer to midline -ask pt. to take deep breaths -you should see your thumbs move apart symmetrically}Reference Lines {Ans: -anterior area -posterior area -lateral area}How should you prepare your patient for auscultation of lung sounds? {Ans: -sitting -leaning forward slightly with arms resting comfortably across lap -breath through mouth and a little bit deeper