Podcast
Questions and Answers
Which of the following describes a normal breath sound during auscultation?
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?
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?
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?
How should the patient be positioned for optimal auscultation of lung sounds?
When assessing breath sounds, which of the following aspects should NOT be documented?
When assessing breath sounds, which of the following aspects should NOT be documented?
Which of the following describes the expected breath sound assessment for an older adult with diminished breath sounds?
Which of the following describes the expected breath sound assessment for an older adult with diminished breath sounds?
What best describes crackles when heard during a respiratory assessment?
What best describes crackles when heard during a respiratory assessment?
How does kyphosis affect respiratory effort in older adults?
How does kyphosis affect respiratory effort in older adults?
Which of the following is a proper way to document breath sounds during an assessment?
Which of the following is a proper way to document breath sounds during an assessment?
What is the appropriate indication for using supplemental oxygen?
What is the appropriate indication for using supplemental oxygen?
At what flow rate does a nasal cannula deliver 44% oxygen concentration?
At what flow rate does a nasal cannula deliver 44% oxygen concentration?
What effect does aging have on alveoli in the respiratory system?
What effect does aging have on alveoli in the respiratory system?
What should be the primary focus during auscultation of lung sounds?
What should be the primary focus during auscultation of lung sounds?
What is the characteristic of bronchial breath sounds regarding inspiration and expiration?
What is the characteristic of bronchial breath sounds regarding inspiration and expiration?
Which of the following describes the location where bronchovesicular breath sounds should be auscultated?
Which of the following describes the location where bronchovesicular breath sounds should be auscultated?
What does asymmetry of breath sounds typically indicate?
What does asymmetry of breath sounds typically indicate?
Which adventitious sound is characterized by high-pitched whistling due to narrowed airways?
Which adventitious sound is characterized by high-pitched whistling due to narrowed airways?
Which breath sound is described as having a moaning or snoring quality and may clear with coughing?
Which breath sound is described as having a moaning or snoring quality and may clear with coughing?
What is often associated with the presence of crackles (rales) in breath sounds?
What is often associated with the presence of crackles (rales) in breath sounds?
Which breath sounds are described as softer, breezy, and more low pitched than bronchovesicular sounds?
Which breath sounds are described as softer, breezy, and more low pitched than bronchovesicular sounds?
What documentation note should be made if breath sounds are distant or diminished?
What documentation note should be made if breath sounds are distant or diminished?
Study Notes
Breath Sounds
- Normal breath sounds are clear and easy to hear during auscultation
- Dullness heard over lung tissue during percussion is most likely associated with consolidation
- To minimize noise interference when auscultating a patient's back, the practitioner should ask the patient to hold their breath briefly
- Crackles are discontinuous clicking or crackling sounds heard during inspiration.
- Wheezing is a high-pitched whistling sound heard during expiration, typically due to narrowed airways.
- Rhonchi are low-pitched, rumbling sounds heard during inspiration or expiration, and may clear with coughing.
- Diminished breath sounds are often documented as "decreased" or "faint"
- Bronchial breath sounds are louder and higher-pitched during expiration than inspiration
- Vesicular breath sounds are soft, breezy sounds heard over most of the lung fields.
- Bronchovesicular breath sounds should be auscultated over the main stem bronchi
- Asymmetry of breath sounds typically indicates a potential underlying problem in one lung.
- Crackles (rales) are often associated with fluid in the alveoli
- Distant or diminished breath sounds should be documented as "decreased breath sounds"
Respiratory Assessment
- The patient should be positioned sitting upright for optimal auscultation of lung sounds.
- Older adults with diminished breath sounds may have decreased lung capacity due to aging.
- Kyphosis can restrict lung expansion and make breathing more difficult in older adults.
- When assessing lung sounds, the intensity, pitch, and duration of inspiration and expiration should be documented.
- Supplemental oxygen is indicated when a patient has low blood oxygen levels
- A nasal cannula delivers 44% oxygen concentration at a flow rate of 4 liters per minute.
- Aging causes alveoli to become less elastic and more prone to collapse.
- The primary focus during auscultation of lung sounds is to identify any abnormal sounds such as wheezing or crackles.
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Description
Test your knowledge on the normal breath sounds during auscultation and techniques to minimize noise interference. This quiz also covers the proper positioning of patients for optimal lung sound assessment and documentation practices. Perfect for healthcare professionals or students in medical fields.
