Health Assessment In Nursing - Breath Sounds

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| By Sticky_Chicken
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Health Assessment In Nursing - Breath Sounds - Quiz

Some basic knowedge needed for a lung assessment


Questions and Answers
  • 1. 

    The nurse is preparing to auscultate the posterior thorax of an adult female client.  The nurse should

    • A.

      Place the bell of the stethescope firmly on the posterior chest wall

    • B.

      Ascultate from the base of the lungs to the apices

    • C.

      Ask the client to breathe deeply through her mouth

    • D.

      Ask the client to breathe normally through her nose

    Correct Answer
    C. Ask the client to breathe deeply through her mouth
    Explanation
    When auscultating the posterior thorax, it is important for the nurse to ask the client to breathe deeply through her mouth. This is because deep breathing allows for better lung expansion and airflow, which can help the nurse to hear any abnormal breath sounds more clearly. By asking the client to breathe deeply through her mouth, the nurse can ensure that the auscultation is done effectively and accurately.

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  • 2. 

    The nurse assesses an adults client's breath sounds and hears sonorous wheezes, primarily during the client's expirtaion.  the nurse should refer the client to a physician for possible

    • A.

      Asthma

    • B.

      Chronic emphysema

    • C.

      Pleuritis

    • D.

      Bronchitis

    Correct Answer
    D. Bronchitis
    Explanation
    The nurse should refer the client to a physician for possible bronchitis because sonorous wheezes are a common symptom of bronchitis. Bronchitis is an inflammation of the bronchial tubes, which can cause narrowing of the airways and produce wheezing sounds. Wheezing is typically heard during expiration due to the narrowing of the airways. Asthma and chronic emphysema can also cause wheezing, but the presence of sonorous wheezes suggests bronchitis as the most likely cause. Pleuritis, on the other hand, is inflammation of the pleura and does not typically cause wheezing.

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  • 3. 

    Match the terms to the correct descriptionOrthopnea

    • A.

      An increase in carbon dioxide in the blood

    • B.

      Low-pitched, bubbling, moist sounds

    • C.

      Difficulty breathing when lying supine

    Correct Answer
    C. Difficulty breathing when lying supine
    Explanation
    Orthopnea refers to the difficulty in breathing when lying flat or supine. It is a condition commonly seen in individuals with heart failure or lung diseases. When a person with orthopnea lies down, the excess fluid in the lungs can accumulate and make breathing more difficult. This symptom often improves when the person sits up or sleeps with their upper body elevated.

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  • 4. 

    Match the terms to the correct descriptionCrepitus

    • A.

      A "cracking" sensation

    • B.

      Low-pitched snoring or moaning sounds

    • C.

      Markedly sunken sternum and adjacent cartilage

    Correct Answer
    A. A "cracking" sensation
    Explanation
    Crepitus refers to a "cracking" sensation. It is a term used to describe a sound or feeling that occurs when there is friction between bones or cartilage. This can happen due to various reasons such as joint degeneration, injury, or inflammation. Crepitus is often associated with conditions like arthritis or joint dysfunction. The sensation can be accompanied by pain or discomfort, and it is important to seek medical attention if it persists or worsens.

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  • 5. 

    Match the terms to the correct description, check all that applyVesicular breath sounds

    • A.

      Low pitch

    • B.

      High pitch

    • C.

      Ausculated over most lung fields

    • D.

      Auscultated over main bronchus area

    • E.

      Ascultated over upper right posterior lung fields

    • F.

      Short on exhilation, long inhalation

    • G.

      Exhalation equals inhalation

    Correct Answer(s)
    A. Low pitch
    C. Ausculated over most lung fields
    F. Short on exhilation, long inhalation
    Explanation
    Vesicular breath sounds are low-pitched sounds that can be auscultated over most lung fields. They are characterized by a shorter duration on exhalation compared to inhalation, with inhalation being longer.

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  • 6. 

    Match the terms to the correct description, check all that applyBronchovesicular breath sounds

    • A.

      Medium pitch

    • B.

      Exhalation equals inhalation

    • C.

      Loud and long exhalation

    • D.

      Heard over trachea area

    • E.

      Heard over main bronchus area & upper right posterior lung fields

    • F.

      High pitch

    Correct Answer(s)
    A. Medium pitch
    B. Exhalation equals inhalation
    E. Heard over main bronchus area & upper right posterior lung fields
    Explanation
    Bronchovesicular breath sounds are characterized by a medium pitch, with the sound of exhalation equaling that of inhalation. These sounds are typically heard over the main bronchus area and the upper right posterior lung fields.

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  • 7. 

    Match the terms to the correct description, check all that applyBronchial breath sounds

    • A.

      Low pitch

    • B.

      Medium pitch

    • C.

      High pitch

    • D.

      Loud & long exhalation

    • E.

      Short exhalation & long inhalation

    • F.

      Heard over trachea

    • G.

      Heard over most lung fields

    Correct Answer(s)
    C. High pitch
    D. Loud & long exhalation
    F. Heard over trachea
    Explanation
    Bronchial breath sounds are characterized by a high pitch, loud and long exhalation, and are typically heard over the trachea. They are not typically heard over most lung fields.

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  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Nov 25, 2010
    Quiz Created by
    Sticky_Chicken
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