“As air leaves the trachea and bronchus it hits secretions like mucus and fluid, which creates a snoring like sound.”ĭ. “When inhaled air enters into small airways that are collapsed, they suddenly explode open leading to a crackling sound.”Ĭ. “The pleural layers in the lungs are inflamed and rub against each other creating a harsh-grating sound.”ī. Which statement below best summarizes why fine crackles are occurring in a patient?Ī.Fine crackles tend to occur in the smaller airways such as the alveoli and bronchioles. Where are fine crackles usually located in the respiratory system? Select-all-that-apply:.Coarse crackles occur around the beginning of inspiration and can extend to expiration, and is longer than fine crackles. When would the nurse expect to auscultate coarse crackles during the respiratory cycle?.The answer is A: bubbling Coarse crackles can be described as sounding like gurgling or bubbling that does not go away with coughing. What descriptive word could the nurse use to describe the sound of coarse crackles?.The statement should say: “A pleural friction rub occurs because the layers around the lungs known as the VISCERAL pleura (NOT tunica adventitia pleura) and parietal pleura are inflamed and rubbing against each other. 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.A pleural friction rub is LOW-pitched, is not affected by suctioning or coughing, does cause pain with coughing/deep breathing/laughing etc., and is located within the pleural layers. mainly located in the smaller airways like the bronchioles pain with coughing, deep breathing, or laughingĭ. Which characteristic below is found with a pleural friction rub?Ĭ.This sound is located in the throat area. The answer is 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 etc. The nurse asks the parent to verbalize where the sound is mainly located. The nurse is educating a patient’s parent on how to identify stridor.The answer is A: during inspiration or expiration Fill-in-the-blank: Stridor can occur _.ĭ.This is a sound characteristic of what high-pitched wheezes sounds like. How could a nurse describe the sound of a high-pitched wheeze?.While epiglottitis can cause stridor, and heart failure can cause crackles. These disease process can lead to narrowing of the airways. Which patient below would be at risk for experiencing high-pitched wheezes? Select all that apply:.How could the nurse best describe this sound during documentation? Rhonchi are mainly on expiration but possibly heard during inspiration as well beginning of inspiration which can extend to expiration mainly on expiration but possibly heard during inspiration as wellī. When would the nurse expect to hear rhonchi during auscultation of the lung fields?Ī.This documentation indicates that the expected sound (vesicular) was heard, specifies where it was heard (majority of the lung fields), notes the absence of any additional (adventitious) sounds, and explicitly mentions some of the specific sounds you listened for but did not hear (wheezing, crackles, rhonchi, stridor). No wheezing, crackles, rhonchi, or stridor.” “Normal vesicular breath sounds heard over the majority of the lung fields. This means that you heard the expected breath sounds and there were no abnormal or extra sounds. If lung sounds are normal, they’re often described as “clear to auscultation bilaterally” or “CTAB” (an abbreviation of the same phrase). When charting normal lung sounds, it’s important to be concise, clear, and descriptive. Vesicular lung sounds: over most lung spacesĬharting normal lung sounds: how to document lung sounds.Bronchovesicular lung sounds: in the posterior chest between the scapulae and in the center of the anterior chest.Bronchial lung sounds: over the large airways in the anterior chest near the second and third intercostal spaces.The different types of lung sounds can be heard best in the following locations:
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