Breath sounds & Chest Tube (S.G)

Question 1

Normal Breath Sounds

Answer 1

1. Vesicular
2. Bronchovesicular
3. Bronchial

Question 2

1. Vesicular Sound location

Answer 2

over most of the lungs

Question 3

Vesicular pitch

Answer 3

Low

Question 4

Vesicular exhalation

Answer 4

short and soft

Question 5

Vesicular inhalation

Answer 5

Long

I > E

Question 6

2. Bronchovesicular sound location

Answer 6

bronchus, posterior back

Question 7

Bronchovesicular pitch

Answer 7

medium

Question 8

Bronchovesicular exhalation

Answer 8

Exhalation= inhalation

I=E

Question 9

3. Bronchial Sound Location

Answer 9

only over the trachea

Question 10

Bronchial Pitch

Answer 10

High

Question 11

Bronchial exhalation

Answer 11

loud and long

I

Question 12

3 Adventitious Breath Sounds

Answer 12

1. Crackles
2. wheezes
3. pleural friction rub

Question 13

1. crackles cause

Answer 13

fluid & secretions in the airway

Question 14

crackles sounds

Answer 14

short popping and cracking

Question 15

crackles disease association

Answer 15

• pneumonia
• pulmonary edema
• pulmonary fibrosis
• atelectasis

Question 16

1. wheezes cause

Answer 16

air flowing at a high velocity through a narrow airway

Question 17

Wheeze sounds

Answer 17

high pitch, squeeking, whistling

Question 18

wheeze disease association

Answer 18

• asthma

- bronchospasm

Question 19

3. pleural friction rub cause

Answer 19

irritated pleural spaces rubbing together

Question 20

pleural friction rub sounds

Answer 20

cracking, dry, course, leathery

Question 21

pleural friction rub disease assoc.

Answer 21

• plueral effusion

- pleurisy

Question 22

3 other abnormal breath sounds

Answer 22

1. absent
2. diminished
3. strider

Question 23

1. absent cause

Answer 23

NO airflow to part of lung

Question 24

absent dz assoc.

Answer 24

• atelectasis
• pneumonectomy
• lung mass

Question 25

2. diminished cause

Answer 25

LITTLE airflow to part of lung

Question 26

diminished dz. assoc.

Answer 26

• atelectasis
• COPD
• obesity

Question 27

3. Strider causes

Answer 27

Obstruction in TRACHEA or LARYNX

Question 28

strider sounds

Answer 28

loud, high-pitch

Question 29

Chest tube uses

Answer 29

to remove fluid or air from the pleural space

Question 30

3 settings for chest tubes

Answer 30

1. suction (orange accordion)
2. Water seal- to gravity
3. Clamped- @ the tube. follow all the way up to pt.

Question 31

How will you know if there is an air leak in a chest tube?

Answer 31

blue water will be bubbling

Question 32

why would there be an air leak in a chest tube ?

Answer 32

• bad connection

- pneumothorax

Question 33

Where should a chest tube compartment be placed?

Answer 33

• below level of chest

- free of kinks

Question 34

What do you use for accidental dislodgements of chest tubes?

Answer 34

STERILE VASELINE