Chapter 16- Assessing Breathing Sounds

Question 1

Obtaining breath sounds or lung sounds is an important step when you assess a patient who is experiencing _________

Answer 1

Respiratory distress

Question 2

Listen over the ______chest

Answer 2

bare

Question 3

Trying to listen over clothing or chest hair may give you _______

Answer 3

inaccurate information

Question 4

The ______ of the stethoscope must be in firm contact with the skin

Answer 4

Diaphragm

Question 5

If your patient is lying down, bring him or her to a _____ position, which is better

Answer 5

Sitting

Question 6

What are the normal breath sounds

Answer 6

Vesicular Breath sounds
Bronchial breath sounds

Question 8

What are decreased, absent, or abnormal breath sounds

Answer 8

Adventituous breath sounds

Question 9

With your stethoscope check both sides of the chest so that you can ______

Answer 9

compare each side

Question 10

When listening to the patients back, place the stethoscope between and below the _____ not over them

Answer 10

scapulae

Question 11

When listening from fluid collection, listen to the ______ lung fields

Answer 11

lower

Question 12

Start from the _______ and determine at which level you start hearing breath sounds

Answer 12

Bottom up

Question 13

You should hear clear flow of air in both lungs. If you do not hear the flow of air, this is known as ______

Answer 13

Absent lung sounds

Question 14

Be careful not to confuse absent breath sounds with clear breath sounds

Answer 14

True.

Question 15

Snoring sounds indicate ____ airway obstruction usually in the _______

Answer 15

upper; orophraynx

Question 16

Wheezing indicates

Answer 16

constriction and/or inflammation in the bronchus

Question 17

Wheezing is _____, _____ or _______ sound

Answer 17

high-pitched
musical
whistling

Question 18

Wheezing can be commonly heard in patients with _____ or _______

Answer 18

Asthma
COPD

Question 19

Crackles, formally called

Answer 19

Rales

Question 20

Crackles are the sounds of

Answer 20

air trying to pass through fluid in the alveoli

Question 21

It is a crackling or bubbling sound typically heard on

Answer 21

inspiration

Question 22

High pitched sounds are called _____ cackles
Low pitched sounds are called _____

Answer 22

Fine cackles
Coarse cackles

Question 23

Crackles are often a result of ______ or _______

Answer 23

congestive heart failure
pulmonary edema

Question 25

Low pitched rattling sounds caused by secretion or mucus in the larger airway

Answer 25

Rhonchi

Question 26

Rhonchi are sometimes referred to as _____ lung sounds

Answer 26

junky

Question 27

Rhonchi can be heard with infections such as

Answer 27

pneumonia
bronchitis
aspiration

Question 28

Stridor is the high pitched sounds heard on _____ as air tries to pass through an obstruction in the upper airway

Answer 28

inspiration

Question 29

Stridor indicates obstruction of the _____

Answer 29

Trachea

Question 30

Stridor occurs in patients with _____ or ________ airway obstruction

Answer 30

Anatomic
Foreign body