Auscultate Breath Sounds N 789

Auscultate Breath Sounds N 789

Assignment: Auscultate Breath Sounds N 789

7. A nurse is caring for a child who has partial-thickness burns on more than 40% of his body. Which of the following fluids prescribed by the provider should the nurse administer to the child in the 24 hr?

 

-5% dextrose

-Lactated Ringer’s

-Albumin

-Plasmalyte

 

8. A nurse is caring for a child who has nephrotic syndrome. Which of the following findings is associated with this diagnosis?

 

-Constipation

-Hyperalbuminuria

-Weight loss

-Hypervolemia

 

9. A nurse is teaching a parent of a child who has Pediculosis. Which of the following statements from the parent indicates an understanding of the teaching?

 

-“I should place nonwashable items in a bag for 5 days.”

-“I will apply Benadryl ointment to the affected areas.”

-“I will need to remove the nits after treatment.”

-“I should apply permethrin cream each day for 7 days.”

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Where do you Auscultate breath sounds?

There are two normal breath sounds. Bronchial and vesicular. Breath sounds heard over the tracheobronchial tree are called bronchial breathing and breath sounds heard over the lung tissue are called vesicular breathing. The only place where tracheobronchial trees are close to chest wall without surrounding lung tissue are trachea, right sternoclavicular joints and posterior right interscapular space. These are the sites where bronchial breathing can be normally heard. In all other places there is lung tissue and vesicular breathing is heard.

The bronchial breath sounds over the trachea has a higher pitch, louder, inspiration and expiration are equal and there is a pause between inspiration and expiration.

The vesicular breathing is heard over the thorax, lower pitched and softer than bronchial breathing. Expiration is shorter and there is no pause between inspiration and expiration. The intensity of breath sound is higher in bases in erect position and dependent lung in decubitus position.

The breath sounds are symmetrical and louder in intensity in bases compared to apices in erect position. No adventitious sounds are heard.

Breath Sounds by Dr David W.Cugell NW University Chicago