Competency #2

Question 1

PART 1: LUNG AUSCULTATION

Answer 1

PART 1: LUNG AUSCULTATION

Question 2

How do we perform lung auscultation?

Answer 2

• Stethoscope head placed firmly in contact with the chest, progressing over each segment and comparing side to side.
• Patient asked to breathe deeply through the mouth, both in and out, at every contact.

Question 3

What (3) things do we want to make note of when performing lung auscultation?

Answer 3

• Sound quality.
• Exhalation sound duration compared to inspiration
• Presence of adventitious lung sounds.

Question 4

What are the (4) normal sounds heard when performing lung auscultation?

Answer 4

• Vesicular
• Tracheal/Bronchial
• Bronchovesicular

Question 5

Vesicular Sounds:

• Where are they normally heard?
• What is considered normal?
• What is considered abnormal?

Answer 5

Heard:
-Normally heard on the peripheral of the lung fields.

Normal:
-Exhalation longer, inhalation louder.

Abnormal:

• Reduction in vesicular sound = reduced ventilation
• Prolongation of exhalation sound = airway obstruction