nursing 102 exam 6 part 2

  1. what are the anatomic landmarks
    Thorax and lungs
    • Suprasternal Notch
    • Angle of Louis
    • Manubrium
    • Body of sternum
    • Clavicle
    • 2nd rib
    • 2nd intercostal space
    • costal angle
  2. anatomic lines
    Midsternal line
    down the middle of dternum
  3. anatomical lines
    midclavicular line
    down middle of clavicle on each side
  4. anatomic lines
    anterior axillary
    where shoulder meets front of body
  5. posterior axillary line
    where should meets body on the back
  6. midaxillary line
    down the middle of the armpit
  7. landmarks
    what is located under the 5h rib at midaxillary line on the right side
    where the right top corner of the middle lobe meets the right bottom corner of the upper lobe
  8. where does the middle lobe and right upper lobe meet (horizontal fissure)
    under the 4th rib

    5th rib midaxillary line
  9. where lobes join is called
  10. which lung has 3 lobes
  11. the right middle lobe can only be heard from the front or back
  12. landmarks for the lung fields
    what is T3 used for
    to find where the upper and lower lobes meet
  13. landmarks: posterior lung fields
    base of the lungs
    • T10
    • deep breath = T12
  14. barrel chest
    • 1:1
    • rounded chest
  15. pigeon chest
    forward protrusion of sternum
  16. funnel chest
    markedly sunken sternum
  17. kyphosis
    • exaggerated posterior curvature of thoracic spine
    • (humpback)
  18. Scoliosis
    lateral S-shaped curvature of thoracic and lumbar spine
  19. infant - small child chest size and shape
    anterior posterior diameter of chest about the same
  20. normal breath sounds
    • vesicular
    • bronchovesicular
    • bronchial
  21. vesicular
    • soft, low pitched, gentle sighing, over most of the peripheral lung fields
    • heard equally on each side
  22. bronchial
    • loud, coarse, harsh, blowing sound
    • heard over trachea
  23. bronchovesicular
    • moderately loud, blowing
    • heard over mainstem bronchi
    • equally heard side to side
  24. adventitious breath sounds
    • crackles (rales)
    • Gurgles
    • Pleural Friction Rub
    • Wheezes
  25. what causes adventitious breath sounds
    fluid or inflammation
  26. wheezes
    squeaky sounds heard during inspiration and expiration, associated with narrowed airways
  27. pleural friction rub
    • grating sound or vibration heard during inspiration and expiration
    • Horse Saddle Squeak
  28. Gurgles (rhonchi)
    gurgling, bubbles, vibrations commonly heard on expiration
  29. Crackles (rales)
    fine, short sounds commonly heard on inspiration (at the end on inspiration)
  30. causes of abnormal breathing
    • pneumonias, lung infections
    • pulmonary edema (often heart related)
    • emphysema (chronic pulmonary lung disease)
    • Atelectasis (portion or total lung collapse, major post op surgery risk)
    • tumors
    • vascular changes (pulmonary emboli)
    • injury (FX rib)
    • pulmonary fibrosis (scarring)
    • pneumothorax, hemothorax (blood or air in lung)
  31. anatomic landmarks for the heart
    • APE To Man
    • Aortic (2nd ICS Rt of Sternum)
    • Pulmonic (2nd ICS Lt of Sternum)
    • Erb's Point (3rd ICS Lt of Sternum)
    • Tricuspid (4th or 5th ICS Lt Sternum)
    • Mitral (5th ICS midclavicular)
  32. Heart Landmark

    2nd ICS Rt of Sternum
  33. Heart Landmark
    2nd ICS Lt of Sternum
  34. heart landmark
    Erb's Point
    3rd ICS Lt of Sternum
  35. heart landmark
    4th or 5th ICS Lt of Sternum
  36. heart landmark
    5th ICS midclavicular Line
  37. PMI on infant
    slightly lateral to the nipple
  38. pulse

  39. pulse 2
  40. Pulse 3`
    • increased, little faster, sharper
    • slightly above normal
  41. pulse 4
  42. Murmurs
    abnormal sounds caused by turbulence within
  43. murmur you can hear
    • bruit
    • whoosh sound
  44. murmur that you feel
    • thrill
    • a vibration caused by turbulence
  45. Virchow's triad
    • impaired venous return
    • hypercoaguability
    • injury to vessel
  46. 3 causes of heart murmur
    • velocity of blood increases(anxiety or exercise)
    • viscosity of blood decreases (in anemia)
    • structural defects in the valves (unusual openings occur in the chambers)
  47. what is homan's sign
    • pain in the calf upon dorsiflexion
    • positive indicates DVT
Card Set
nursing 102 exam 6 part 2
exam 6 part 2