NR 463 Resp Assess Guided Reading

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Chapter 25: Assessment of the Respiratory Systems

All information is taken from: Harding, M. M., Kwong, J., Roberts, D., Hagler, D. and
Reinisch, C. (2020). Lewis’s medical surgical nursing: Assessment and management of
clinical problems (11th ed.). St. Louis, MO: Mosby.
Additional information may be found for medications through your pharmacology resources.

Review your text, familiarize yourself with the upper and lower portions of the respiratory tract.

What is the major muscle of respiration?

What is the primary purpose of the respiratory system?

What two things does ventilation include?

What does compliance mean?

How does Hemoglobin have an effect on oxygenation?

How do you measure oxygenation?

What are the respiratory system’s defense mechanisms?

Subjective Data: What are some lifestyle considerations that may be pertinent?

Objective Data:
Review: Barrel chest:
Kyphosis:
Lordosis:
Scoliosis:
What are signs and symptoms of respiratory distress?

What does clubbing of the fingernails indicate?


Review Diagnostic Studies in your text (including the tables) and answer the following questions
in your own words (summarize your findings so you understand generally what they are):

What is a pulmonary function test?

What is a bronchoscopy?

What is a spiral CT and what is it most frequently used to diagnose?

What is a ventilation-perfusion scan (V/Q)?

What is pulmonary angiography?

What is a thoracentesis?

What is a sputum C & S? How is it obtained?

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