The nurse is assessing the client and notes low-pitched, ...

[madam-professor]

The nurse is assessing the client and notes low-pitched, continuous respiratory sounds that have a snoring quality while auscultating the client's lungs. Which term would the nurse use when documenting this finding?
 
  1. Rales.
  2. Crackles.
  3. Rhonchi.
  4. Wheezes.

Question 2

The nurse auscultates the client's lungs and prepares to document the assessment. Which breath sounds are considered abnormal and may require further intervention?
 
  Select all that apply.
  1. Crackles.
  2. Vesicular.
  3. Bronchovesicular.
  4. Wheezes.
  5. Bronchial.

[morganmarie791]

Answer to Question 1

Correct Answer: 3
There are two types of continuous respiratory sounds that may be heard during the respiratory cycle. Rhonchi are low-pitched and have a snoring quality, while wheezes are high-pitched with a shrill quality. Rales are intermittent, nonmusical, brief sounds. Coarser and louder rales are referred to as crackles.

Answer to Question 2

Correct Answer: 1, 4
Crackles are adventitious, or abnormal, lung sounds produced by collapsed or fluid-filled alveoli. Wheezes are the result of blocked airflow as in asthma, infection, or due to a foreign body. Vesicular sounds are normal and can be heard over the apices. Bronchovesicular sounds are normal sounds that can be auscultated over the bronchi. Bronchial sounds are normal and can be heard to the right and left of the trachea over the bronchi.