The nurse assesses the patient's lungs to find high-pitched musical sounds on inspiration and expiration. Which description does the nurse use to document the findings?
a. Rhonchi
b. Wheezes
c. Crackles
d. Friction rub
B
High-pitched musical breath sounds are wheezes that result from bronchospasm; the smaller the constricted airways, the higher the pitch of the wheeze. Rhonchi are low-pitched rumblings in-dicative of fluid in larger airways; rhonchi are potentially cleared with coughing. Crackles are higher pitched and sharper sounding than rhonchi, indicating fluid or atelectasis in dependent lobes of the lungs. A friction rub is heard on inspiration and expiration but characteristically is a grating sound. A friction rub is frequently accompanied by pain and fever.
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