NUR 2059 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE
Health Assessment Exam 2 Study Guide
1. Respiratory assessment: methods of lung assessment, Types of
breath sounds (normal and abnormal) and what they might
indicate; signs of long term hypoxia; vocal sounds;
1:2is normal barral chest is 1:1 - ribs are horizontal, caused by
COPD
Methods of lung assessment: The person is sitting, leaning forward
slightly, with arms resting comfortably across the lap. Auscultate
side to side, right to left. Listen to full inspiration and expiration.
Have person breathe through mouth. When checking expansion of
lungs, thumbs should move apart equally during inspiration.
Types of breath sounds:
Bronchial- high pitched, heard at larynx or trachea
Bronchovesicular- either side of sternum, posterior between
scapula, anterior 1st and 2nd intercostal spaces
, Vesicular (smaller)- low, soft sounds, heard in peripheral
lung fields.
Normal voice sounds are muffled, soft, and indistinct.
Consolidation over an area will enhance voice sounds making words
more distinct.
Hypoxia- oxygen deficiency. Signs of long term hypoxia are barrel
chest and clubbing
Bronchi-over production of mucus, bronchitis
Abnormal lung sounds: Adventitious Lung Sounds
Crackles (crepitus)-short high pitched popping sounds during
inspiration. Means fluid in the aveoli,
Stridor- high pitched, means a blockage in upper airway path
Pleural rubs- coarse, low pitched, means inflammation of
pleural
Wheezing-asthma
Atelectatic crackles- is not pathologic. They are short,
popping, crackling sounds that last only a few breaths
Health Assessment Exam 2 Study Guide
1. Respiratory assessment: methods of lung assessment, Types of
breath sounds (normal and abnormal) and what they might
indicate; signs of long term hypoxia; vocal sounds;
1:2is normal barral chest is 1:1 - ribs are horizontal, caused by
COPD
Methods of lung assessment: The person is sitting, leaning forward
slightly, with arms resting comfortably across the lap. Auscultate
side to side, right to left. Listen to full inspiration and expiration.
Have person breathe through mouth. When checking expansion of
lungs, thumbs should move apart equally during inspiration.
Types of breath sounds:
Bronchial- high pitched, heard at larynx or trachea
Bronchovesicular- either side of sternum, posterior between
scapula, anterior 1st and 2nd intercostal spaces
, Vesicular (smaller)- low, soft sounds, heard in peripheral
lung fields.
Normal voice sounds are muffled, soft, and indistinct.
Consolidation over an area will enhance voice sounds making words
more distinct.
Hypoxia- oxygen deficiency. Signs of long term hypoxia are barrel
chest and clubbing
Bronchi-over production of mucus, bronchitis
Abnormal lung sounds: Adventitious Lung Sounds
Crackles (crepitus)-short high pitched popping sounds during
inspiration. Means fluid in the aveoli,
Stridor- high pitched, means a blockage in upper airway path
Pleural rubs- coarse, low pitched, means inflammation of
pleural
Wheezing-asthma
Atelectatic crackles- is not pathologic. They are short,
popping, crackling sounds that last only a few breaths
