Chapter 12

  1. This chest wall movement occurs after a chest trauma. The chest wall moves IN during inspiration and OUT during expiration.
    Paradoxical chest wall movement
  2. When a client is leaning forward with his arms braced against his legs he is in this position.
    Tripod position

    This position enhances accessory muscles
  3. Frequent sighing is considered abnormal and is a sign of what?
    fatigue, anxiety
  4. Respiratory rate less than 12 per minute
  5. Respiratory rate more than 20 per minute
  6. Increased rate AND depth or ventilation
  7. When hyperventilation occurs with ketoacidosis, it is very deep and laborious..
  8. Breathing pattern characterized by irregularly interspersed periods of apnea in a disorganized pattern, rate, or depth.
  9. This breathing pattern is often associated with persistant intercranial pressure, respiratory distress, or damage to the medulla.
  10. Breathing patter characterized by intervals of apne interspersed with a deep, rapid breathing pattern.
  11. This breathing pattern is often associated with clients with severe illness, brain damage, or drug overdose.
  12. Clubbing of the nails is often associated with these two respiratory diseases.
    • Cystic fibrosis
    • COPD
  13. Bronchial breath sounds are considered abnormal if they are heard over the _______ or _______ thorax.
    Posterior or Lateral
  14. Term used to describe the harsh, high-pitched sound associated with breathing that is often caused by laryngeal or tracheal obstructions
  15. This adventitious sound may be a sign of pneumonia, heart failure, asthma, or restrictive pulmonary disease
  16. This adventitous sound is heard in narrow airway diseases such as asthma.
  17. This adventitous sound is heard in disorders causing obstruction to the trachea or bronchus, such as chronic bronchitis
  18. This adventitious sound is heard in individuals with pleurisy.
    Pleural friction rub
  19. It is considered an abnormal finding if the costal angle is more than ___ degrees
  20. A prominence in the sternum that would be considered an abnormal finding
    Pectus carinatum
  21. An indent in the sternum above the xiphoid process that is considered an abnormal finding
    Pectus excavatum
  22. T or F
    When palpating the posterior chest wall you should use both hands simultaneously to compare the two sides.
  23. T or F
    Crepitus found during palpation of the posterior chest wall indicates air in the subcut tissue caused by an air leak from somewhere in the repiratory tree.
  24. A decrease or absence of fremitis (vibrations from vocalizations) occur when the vibrations are blocked which may occur in clients with...
    • Emphysema
    • Pleural effusion
    • Pulmonary edema
    • Bronchial obstruction
  25. An increase in fremitus may be indicative of lung tissue that is consolidated or congested which occurs in patientss with...
    • Pneumonia
    • Tumor
  26. If the _______ is not midline, it may be a sign of a thorax mass, mediastinal shift, or some degree of lung collapse
Card Set
Chapter 12
Respiratory system