Adventitious lung sounds
Which patient below would be at risk for experiencing high-pitched wheezes? Select all that apply. a. Patient with COPD b. Patient with epiglottitis c. patient with heart failure d. patient with asthma
A and D. These disease processes can lead to the narrowing of the airways. While epiglottitis can cause stridor, and heart failure can cause crackles.
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. mainly on expiration but possibly heard during inspiration as well
What descriptive word could the nurse use to describe the sound of coarse crackles? A. Bubbling B. Popping C. Snoring D. Harsh-grating
A: course crackles can be described as sounding like gurgling or bubbling that does not go away with coughing
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: during inspiration or expiration
Which statement below best summarizes why fine crackles occur 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 collapsed airways, they suddenly explode open, leading to a crackling sound." C. "As the 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 to a popping sound on inhalation."
B: "When inhaled air enters into collapsed airways, they suddenly explode open, leading to a crackling sound." A: is describing a pleural friction rub C: is describing Rhonchi D: is describing Stridor
When would the nurse expect to auscultate course crackles during the respiratory cycle? A. end of inspiration B. beginning of inspiration C. end of expiration D. throughout inspiration and expiration
B: Course crackles occur around the beginning of inspiration and can extend to expiration, and is longer than fine crackles.
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: throat- stridor occurs because there is narrowing of the larynx and trachea which can happen due to swelling from an infection or blockage from an object. This sound is located in the throat area
The nurse notes rhonchi. How could the nurse best describe the sound during documentation? a. Popping b. musical whistling c. snoring d. squawking
C - snoring
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: Fine crackles tend to occur in the smaller airways
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. A pleural friction rub is LOW-pitched, is not affected by suctioning or coughing, and is located within the pleural layers
How could a nurse describe the sound of a high-pitched wheeze? a. snoring b. crackling, popping c. bubbling d. musical, whistling
D: musical, whistling
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: A pleural friction rub occurs because the VISCERAL and parietal pleura are inflamed and rubbing against each other.
True or False: Rhonchi improves with suctioning or coughing
True
