The nurse is assessing voice sounds during a respiratory ...

[moongchi]

The nurse is assessing voice sounds during a respiratory assessment. Which of these findings indicates a normal assessment? Select all that apply.
 
  a. Voice sounds are faint, muffled, and almost inaudible when the patient whispers one, two, three in a very soft voice.
  b. As the patient repeatedly says ninety-nine, the examiner clearly hears the words ninety-nine.
  c. When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said.
  d. As the patient says a long ee-ee-ee sound, the examiner also hears a long ee-ee-ee sound.
  e. As the patient says a long ee-ee-ee sound, the examiner hears a long aaaaaa sound.

Question 2

A patient has been admitted to the emergency department for a suspected drug overdose. His respirations are shallow, with an irregular pattern, with a rate of 12 respirations per minute.
 
  The nurse interprets this respiration pattern as which of the following?
  a.
  Bradypnea
  b.
  Cheyne-Stokes respirations
  c.
  Hypoventilation
  d.
  Chronic obstructive breathing

[diana chang]

Answer to Question 1

ANS: A, C, D
As a patient repeatedly says ninety-nine, normally the examiner hears voice sounds but cannot distinguish what is being said. If a clear ninety-nine is auscultated, then it could indicate increased lung density, which enhances the transmission of voice sounds, which is a measure of bronchophony. When a patient says a long ee-ee-ee sound, normally the examiner also hears a long ee-ee-ee sound through auscultation, which is a measure of egophony. If the examiner hears a long aaaaaa sound instead, this sound could indicate areas of consolidation or compression. With whispered pectoriloquy, as when a patient whispers a phrase such as one-two-three, the normal response when auscultating voice sounds is to hear sounds that are faint, muffled, and almost inaudible. If the examiner clearly hears the whispered voice, as if the patient is speaking through the stethoscope, then consolidation of the lung fields may exist.

Answer to Question 2

ANS: C
Hypoventilation is characterized by an irregular, shallow pattern, and can be caused by an overdose of narcotics or anesthetics. Bradypnea is slow breathing, with a rate less than 10 respirations per minute.

[moongchi]

TYSM

[Dominic]

Excellent