NURS 190 Quiz 3 - Questions and Answers What is the exaggeration of the lumbar vertebrae common with pregnant women? -lordosis What structure of the breast is responsible for milk production? -acini cells When do you a
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NURS 190 Quiz 3 - Questions and Answers What is the exaggeration of the lumbar vertebrae common with pregnant women? -lordosis What structure of the breast is responsible for milk production? -acini cells When do you advise an elderly patient to perform a self-breast exam (SBE)? -same day/time every month When do you advise a female patient that is still menstruating to perform an SBE? -3-5 days after menstruation What are the normal breath sounds upon auscultation? -tracheal -bronchial -broncho-vesicular -vesicular Orange peel appearance on skin of the breast is a sign of what? -cancer or malignancy What is tactile fremitus on palpation? -technique used to assess the patient's lung sounds when patient is talking and coughing What are intraductal papillomas? -most common cause of benign nipple discharge in post-menopausal clients. -this discharge can be serous (clear), serous-sanguineous (clear/bloody), or sanguineous (bloody) What is atelectasis? -decreased breath sounds on auscultation of lobes of lungs, most common cause is prolonged bed rest amongst post-operative patients or elderly. What is the difference between cheyne-strokes and ataxic (biot's) breathing? -cheyene-stokes: apnea, regular pattern, heard in elderly dying patients -ataxic (biot's): apnea, irregular pattern, common in patients with brain injury What is the most common breathing for COPD? -asthma or chronic bronchitis: both have prolonged expiration (obstructive breathing) What is normal breathing? -eupnea: regular, even, and rhythmic breathing -eupnea with sigh: still normal What is the indication of decreased tactile fremitus? -soft voice -thick chest muscle -obese -COPD -pleural effusion What is the cause of increased tactile fremitus? -fluid in lungs -fibrosis -tumor -infection What is the normal diaphragmatic excursion? -3-5 cm (for well fit individuals can increase to 8 cm) What causes decreased diaphragmatic excursion? -lungs not fully expanding -emphysema -atelectasis -respiratory depression What causes asymmetric diaphragmatic excursion? -paralysis -pleural effusion of effected side
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