Rhonchi, Wheeze, Crackles, Pleural Friction Rub, Stridor)

coarse crackles (rales)

(low-pitched, bubbling); mucus in larger airways; may diminish with cough/suction Sounds like water bubbling

What descriptive word could the nurse use to describe the sound of coarse crackles? A. Bubbling B. Popping C. Snoring D. Harsh-grating

A

When would the nurse expect to hear rhonchi during auscultation of the lung fields? A. mainly on expiration but possibly heard during inspiration as well B. beginning of inspiration which can extend to expiration C. toward the end of inspiration D. only on expiration

A

coarse crackles occur when the patient

breath through thick mucus/fluid in larger airways conditions such as pulmonary edema pneumonia Infection of the lungs

The nurse is educating a patient's parent on how to identify stridor. The nurse asks the parent to verbalize where the sound is mainly located. Which answer by the parent is correct A. lower airways B. throat C. nasal D. sternal

B

Which statement below best summarizes why fine crackles are occurring in a patient A. "The pleural layers in the lungs are inflamed and rub against each other creating a harsh-grating sound." B. "When inhaled air enters into small airways that are collapsed, they suddenly explode open leading to a crackling sound." C. "As air leaves the trachea and bronchus it hits secretions like mucus and fluid, which creates a snoring like sound." D. "The narrowing of the larynx and trachea from either an object or swelling leads a popping sound on inhalation.

B

Where are fine crackles usually located in the respiratory system? Select-all-that-apply: A. Bronchi B. Trachea C. Alveoli D. Bronchioles

C and D

7. Which characteristic below is found with a pleural friction rub? A. high-pitched B. disappears with suctioning C. pain with coughing, deep breathing, or laughing D. mainly located in the smaller airways like the bronchioles

c

Fine crackers may occur in conditions such as

Congestive heart failure atelectasis pneumonia pulmonary fibrosis

The nurse notes rhonchi. How could the nurse best describe this sound during documentation? A. popping B. musical whistling C. snoring D. squawking

c

Pleural friction rub

Low, harsh grating sound, pain during breaths

Crackles

Rales: Heard with Inspiration

. Which patient below would be at risk for experiencing high-pitched wheezes? Select all that apply A. A patient with COPD. B. A patient with epiglottitis. C. A patient with heart failure. D. A patient with asthma.

d

where do you hear wheezing?

Throughout the respiratory system

4. How could a nurse describe the sound of a high-pitched wheeze? A. snoring B. crackling, popping C. bubbling D. musical, whistling

d

Stridor

Upper Airway obstruction High pitched squeking , squaking

Where do you hear stridor?

Upper respiratory system

Fill-in-the-blank: Stridor can occur _______________. A. during inspiration or expiration. B. during inspiration only. C. during expiration only. D. during the ending of inspiration only.

a

rhonchi is caused by

air leaving the trachea hits secretions mucus and fluid and is caused by Bronchitis pneumonia COPD

Where are fine crackles heard?

alveoli - small airways

. When would the nurse expect to auscultate coarse crackles during the respiratory cycle? A. end of inspiration B. beginning of inspiration C. end of expiration D. throughout inspiration and expiration

b

When do you hear wheezing?

expiration

. True or False: A pleural friction rub occurs because the layers around the lungs known as the tunica adventitia pleura and parietal pleura are inflamed and rubbing against each other.

false

Wheezing

high pitched, musical, inspiratory or expiratory

fine crackles (rales)

high-pitched, popping: usually in bases; fluid-filled alveoli

When are fine crackles heard?

inspiration

When do you hear pleural friction rubs

inspiration and expiration

when is rhonchi heard

inspiration and expiration

When do you hear stridor?

inspiration or expiration

Where is rhonchi heard?

large airways Trachea and bronchi

Where are coarse crackles heard?

large airways - Bronchi

Rhonchi

low-pitched wheeze; snoring, rattling sound; coughing or suctioning

where do you hear pleural friction rubs?

pleura layers

When are coarse crackles heard?

start of inspiration and expiration

Stridor is caused by

swelling or obstruction in the larynx or trachea such as foreign object croup anaphylaxis

wheezing occurs when

the airways in the respiratory system are becoming smaller conditions like asthma COPD

pleural friction rub

• Caused by inflammation of pleural surfaces (pleurisy) and rub against each other