In demonstrating a respiratory assessment, the nursing instructor has a student repeat the letter E while the instructor assesses voice sounds
Upon auscultation, the instructor notes that the voice sounds are distorted and she hears the letter A instead of the letter E. The instructor asks the students to document this finding. How would this finding be documented?
A) Bronchophony
B) Egophony
C) Whispered pectoriloquy
D) Sonorous wheezes
Ans: B
Feedback: This finding would be documented as egophony, which can be best assessed by instructing the patient to repeat the letter E. The distortion produced by consolidation transforms the sound into a clearly heard A rather than E. Bronchophony describes vocal resonance that is more intense and clearer than normal. Whispered pectoriloquy is a very subtle finding that is heard only in the presence of rather dense consolidation of the lungs. Sound is so enhanced by the consolidated tissue that even whispered words are heard. Sonorous wheezes are not defined as a voice sound but rather as a breath sound.
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