While listening to the posterior chest of a patient who is ...

[Frost2351]

While listening to the posterior chest of a patient who is experiencing acute shortness of breath, the nurse hears these sounds. How should the nurse document the lung sounds? Click here to listen to the audio clip
 
  a. Pleural friction rub
  b. Low-pitched crackles
  c. High-pitched wheezes
  d. Bronchial breath sounds

Question 2

Using the illustrated technique, the nurse is assessing for which finding in a patient with chronic obstructive pulmonary disease (COPD)?
 
  a. Hyperresonance
  b. Tripod positioning
  c. Accessory muscle use
  d. Reduced chest expansion

[stano32]

Answer to Question 1

ANS:
C
Wheezes are continuous high-pitched or musical sounds heard initially with expiration. The other responses are typical of other adventitious breath sounds.

Answer to Question 2

ANS: D
The technique for palpation for chest expansion is shown in the illustrated technique. Reduced chest movement would be noted on palpation of a patient's chest with COPD. Hyperresonance would be assessed through percussion. Accessory muscle use and tripod positioning would be assessed by inspection.