Auscultation of Lung Sounds

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Which of the following describes a normal breath sound during auscultation?

Dullness

Stridor

Resonant (correct)

Wheezing

What should a practitioner do to minimize noise interference when auscultating a patient's back?

Ask the patient to wear a thicker shirt

Avoid direct contact with the chest wall

Use the stethoscope on bare skin (correct)

Ensure the room is free of background noise

Which condition is most likely associated with dullness heard over lung tissue during percussion?

Normal air-filled lung

Fluid accumulation (correct)

Bronchial obstruction

Over-inflation of lungs

How should the patient be positioned for optimal auscultation of lung sounds?

Sitting upright, if possible Signup and view all the answers

When assessing breath sounds, which of the following aspects should NOT be documented?

Patient's clothing type Signup and view all the answers

Which of the following describes the expected breath sound assessment for an older adult with diminished breath sounds?

Symmetrical breath sounds without adventitious sounds Signup and view all the answers

What best describes crackles when heard during a respiratory assessment?

Sudden, fine, or coarse sounds often heard in the lower lung lobes Signup and view all the answers

How does kyphosis affect respiratory effort in older adults?

It reduces lung expansion and increases effort to breathe Signup and view all the answers

Which of the following is a proper way to document breath sounds during an assessment?

Symmetrical breath sounds, clear, without adventitious sounds Signup and view all the answers

What is the appropriate indication for using supplemental oxygen?

For patients unable to get enough oxygen from room air Signup and view all the answers

At what flow rate does a nasal cannula deliver 44% oxygen concentration?

6 L/min Signup and view all the answers

What effect does aging have on alveoli in the respiratory system?

Decreased number of alveoli with thinner walls Signup and view all the answers

What should be the primary focus during auscultation of lung sounds?

To assess for symmetrical breath sounds in all lung areas Signup and view all the answers

What is the characteristic of bronchial breath sounds regarding inspiration and expiration?

Inspiration is shorter than expiration Signup and view all the answers

Which of the following describes the location where bronchovesicular breath sounds should be auscultated?

Next to the sternum in 1st and 2nd intercostal spaces Signup and view all the answers

What does asymmetry of breath sounds typically indicate?

Lack of airflow in part of the lungs Signup and view all the answers

Which adventitious sound is characterized by high-pitched whistling due to narrowed airways?

Wheezes Signup and view all the answers

Which breath sound is described as having a moaning or snoring quality and may clear with coughing?

Rhonchi Signup and view all the answers

What is often associated with the presence of crackles (rales) in breath sounds?

Pulmonary edema and congestive heart failure Signup and view all the answers

Which breath sounds are described as softer, breezy, and more low pitched than bronchovesicular sounds?

Vesicular sounds Signup and view all the answers

What documentation note should be made if breath sounds are distant or diminished?

Hyperinflated lungs due to emphysema or COPD Signup and view all the answers