Shadow Health Tina Jones Respiratory Review Questions

If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion?

Shadow Health Tina Jones Review Questions on Respiratory System

Questions for Review

Activity Time: 17 minutes

If Tina had mentioned she was recently diagnosed with pneumonia, what signs would you expect during percussion?

Expected: Dull sounds when tapping the chest indicate areas with fluid and inflammation in pneumonia.

– Extra Sound in the Chest
– Hollow Sound
– Regular Sound
– Muffled Sound (Correct Answer)

If Tina’s pulse oximetry showed 97%, what would this mean?

Correct: Pulse oximetry measures how much oxygen is in the blood. It uses light to check oxygen levels in the blood.

– Oxygen Pressure = 97%
– Free Oxygen Level = 97%
– Blood Oxygen Pressure = 97%
– Blood Oxygen Saturation = 97% (Correct Answer)

Suppose you heard bronchial breath sounds in Tina’s lower left lung during an exam. What could this suggest?

Correct: Increased breath sounds suggest fluid-filled air sacs or fluid around the lungs, as sound travels better through fluid than air.

– Normal Lung Exam
– Collapsed Lung
– Fluid in Lung Area (Correct Answer)
– Narrowed Airways due to Asthma

If you heard scattered expiratory wheezes while listening to Tina’s lungs, why would this be expected?

Student Response: Because Tina has asthma, wheezing can happen. Asthma makes airways narrow due to inflammation and mucus.

Model Note: Wheezing is expected due to Tina’s asthma history. Asthma narrows airways from inflammation and mucus, causing wheezing.

During an exam, what signs show a patient has trouble breathing? Name one you can notice just by looking.

Student Response: Signs of trouble breathing include using extra muscles to breathe, noisy breathing, high breathing rate, bluish lips or nails, runny nose, chest retractions, sweating, sitting in a certain position, and struggling to speak.

Model Note: Signs include using extra muscles, noisy breaths, rapid breathing, bluish lips or nails, runny nose, chest retractions, sweating, sitting a certain way, and trouble speaking.

How do you check if Tina has trouble breathing?

Student Response: To check, ask Tina about her breathing. Ask if she feels short of breath or has difficulty breathing. Also, ask about when it started, what makes it worse or better, how long it lasts, how she’s positioned, if it affects her sleep, and what eases it.

Model Note: Ask Tina if she feels short of breath or has trouble breathing. Then, ask when it started, what triggers it, how long it lasts, how she positions herself, if it affects sleep, and what helps relieve it.

Tina Jones Respiratory Shadow Health Transcript

Correct: Dull percussion sounds are expected over the areas of diffuse infiltrate (accumulation of fluid and by products of inflammation) in a patient with pneumonia.

Hyperresonance
Tympany
Resonant
Dullness (Correct Response)

If the results of Tina’s pulse oximetry had been 97%, which of the following would have been true?

Correct: Pulse oximetry measures the percent of hemoglobin molecules that are filled with oxygen. Oxygen-saturated hemoglobin absorbs light wavelengths differently than unsaturated hemoglobin. The oximeter emits a light and reads the extent of wavelength absorption.

Partial pressure O2 = 97%
Unbound oxygen level = 97%
PaO2 = 97%
Arterial hemoglobin saturation = 97% (Correct Response)

Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. What would you have suspected based on this finding?

Correct: Increased breath sounds are indicative of lung consolidation (fluid-filled alveoli) or pleural effusion (fluid accumulation in the pleural space) because fluid transmits sounds better than air. This finding is usually accompanied by abnormal transmitted voice sounds and increased tactile fremitus.

Normal lung exam
Atelectasis
Fluid filled region of the lung (Correct Response)
Narrowed upper airways secondary to asthma

Suppose that while auscultating, you assessed a few scattered expiratory wheezes. Why would this be an expected finding for a patient with Tina’s history?

Student Response: Because Tina has a history of asthma, it is common for her to have intermittent wheezes. With chronic asthma, the airways become restricted as a consequence of recurrent inflammation and excessive mucus production, resulting in wheezing and other symptoms of respiratory distress. Model Note: Scattered wheezes are to be expected because of Tina’s history of asthma. Asthma is a chronic condition in which hyperreactive airways become narrowed by recurring inflammation and excess mucus production which results in wheezing.

When you observe a patient like Tina throughout an exam, there are many ways to determine whether a patient is experiencing respiratory distress. Identify one indicator of respiratory distress that can be assessed through observation alone.

Student Response: Aspects of respiratory distress that may be seen include the use of auxiliary muscles, audible breathing, gurgling or wheezing, higher respiratory rate, blue coloring surrounding the lips or nails, rhinorrhea, chest retractions, perspiration, and tripod body orientation. Model Note: Observable signs of respiratory distress include accessory muscle use, audible respirations, grunting or wheezing, increased respiratory rate, bluish coloration around the lips or fingernails, nasal flaring, chest retractions, sweating, tripod body positioning, and inability to speak in full sentences.

Describe how you would assess Tina for dyspnea.

Student Response: In order to determine if a patient has dyspnea, the practitioner needs to inquire about the patient’s breathing patterns. This includes asking whether they experience shortness of breath or difficulties breathing. If dyspnea is discovered, make certain to inquire about the commencement, environmental or physical variables that contribute to relapses, duration, body alignment, sleep disruptions, and factors that alleviate the symptoms of dyspnea Model Note: Dyspnea is a subjective complaint that must be elicited by asking the patient about her breathing. Ask your patient, “Do you ever have shortness of breath or difficulty breathing?” If dyspnea is detected, be sure to ask about onset, environmental or physical factors related to exacerbations, duration, body positioning, sleep disturbances, and relieving factors.

Activity Time: 17 min