Auscultation of the lung fields provides the nurse with information on the type of breath sound the patient is exhibiting
While listening over the manubrium, the nurse auscultates loud expiratory sounds that last longer than inspiratory sounds. The nurse will document her findings as:
A) Vesicular breath sounds
B) Bronchovesicular breath sounds
C) Bronchial breath sounds
D) Tracheal breath sounds
Ans: C
Feedback: Bronchial breath sounds, auscultated over the manubrium (if heard at all), are characterized by expiratory sounds that last longer than inspiratory sounds. The intensity of the expiratory sounds is loud and the pitch is relatively high. Vesicular breath sounds can be auscultated over the entire lung field, except for over the upper sternum and between the scapulae. Vesicular breath sounds are characterized by an inspiratory sound that lasts longer than the expiratory sound and the expiratory sound is soft and relatively low in pitch. Bronchovesicular sounds are often heard in the 1st and 2nd interspaces anteriorly and between the scapulae. Bronchovesicular sounds have inspiratory and expiratory sounds that are nearly equal, and the expiratory sound has an intermediate intensity and pitch. Tracheal breath sounds are heard over the trachea and have inspiratory and expiratory sounds that are about equal. The intensity of the expiratory sounds with tracheal breath sounds is very loud and the pitch is relatively high.
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