The nurse instructs the patient to repeat the letter E, while assessing voice sounds. Upon auscultation, the nurse notes that the voice sounds are distorted and she hears the letter A instead of the letter E
The nurse will document this voice sound as:
A) Bronchophony
B) Egophony
C) Whispered pectoriloquy
D) Sonorous wheezes
Ans: B
Chapter: 21
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Communication/Documentation
Objective: 3
Patient Needs: D-4
Feedback: The nurse will document this distorted voice sound as egophony, which can be best be 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, which 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 are a breath sound.
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