Nsg-316 Exam 3 1 Questions And Answers Fully Solved

crepitus {Ans: crackling, crinkling, grating feeling. occurs in SQ layer with emphysema. palpable around fx clavicle}assess tactile fremitus (ant. chest) {Ans: -begin palpating over lung apices in supraclavicular areas -compare vibrations from each side as pt says "99" -avoid palpating over breast tissue (dampens sound)}cardiac factors (assessment) {Ans: -Nutrition: usual weight, changes, basic food groups, additives, calorie intake, cholesterol -Smoking -Meds: OTCs, antihypertensives, beta blockers, Ca channel blocker, digoxin, diuretics, aspirin/anticoagulant -Alcohol -Exercise -Env. -Fam hx}murmur radiation {Ans: down with blood flow}vesicular breath sounds {Ans: -inspiration is longer, expiration is short -low and soft -heard over small bronchioles and alveoli}voice sounds assessment {Ans: while auscultating: -determine quality of voice sounds -ask pt to repeat phrase while listening over chest wall -not routinely done, performed if you suspect lung pathology}