You are caring for a patient with chronic obstructive pulmonary disease. When you auscultate this patient's breath sounds, what do you expect to hear?
A) Continuous popping sounds early in inspiration
B) Harsh, dry sounds originating in the large bronchi
C) Discontinuous popping sounds heard in early inspiration
D) Soft, high-pitched, popping sounds that occur during inspiration
Ans: C
Feedback: Coarse crackles: discontinuous popping sounds heard in early inspiration; harsh, moist sound originating in the large bronchi associated with chronic obstructive pulmonary disease. Soft, high-pitched, popping sounds that occur during inspiration would be heard in a patient with heart failure or pulmonary fibrosis.
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