NURSING
# Term Definition
1 Five Factors that can affect 1. Examiner's breathing on stethoscope tubing.
auscultation 2. Stethoscope tubing bumping together. 3. Pt
shivering 4. Pt's hairy chest; movement of hairs
can sound like crackles. 5. Rustling of paper
gowns/drapes.
2 Subjective Data: Health History Cough, shortness of breath, chest pain w/
(hx) breathing, hx of respiratory infections, smoking
hx, environmental exposure, self-care behavior.
3 Objective Data: Physical Exam Shape/Configuration of chest wall,
Posterior Chest: Inspect what on anteroposterior/transverse diameter, position of
the thoracic cage? pt, skin color/condition.
4 Objective Data: Physical Exam Symmetric expansion, tactile (vocal) fremitus
Posterior Chest: Palpate what on (technique, factors that affect normal intensity),
the thoracic cage? entire chest wall.
5 Objective Data: Physical Exam Predominant note over lung fields,
Posterior Chest: Percuss what on diaphragmatic excursion.
the thoracic cage?
6 Objective Data: Physical Exam Breath Sounds: technique, bronchial,
Posterior Chest: Auscultate what bronchovesicular, vesicular. Adventitious Sounds:
on the thoracic cage? crackles, wheeze, atelectatic crackles. Voice
Sounds: Bronchophony, egophony, whispered
pectoriloquy
7 Objective Data: Physical Exam Shape/Configuration of chest wall, facial
Anterior Chest: Inspect what on expression, level of consciousness, skin
the thoracic cage? color/condition, quality of respiration, rib
interspaces, accessory muscles.
8 Objective Data: Physical Exam Breath sounds, abnormal breath sounds,
Anterior Chest: Auscultate for adventitious sounds.
what on the thoracic cage?
9 Normal Breath Sounds (p. 430) Pitch: High Amplitude: Loud Duration: Inspiration
Bronchial: < Expiration Quality: harsh, hollow, tubular
Normal Location: trachea/larnyx
, NURSING
# Term Definition
10 Normal Breath Sounds (p. 430) Pitch: Moderate Amplitude: Moderate Duration:
Bronchovesicular: Inspiration = Expiration Quality: mixed Normal
Location: over major bronchi where fewer alveoli
are located: Posterior (between scapulae,
especially on right); Anterior (around upper
sternum in 1st and 2nd intercostal space).
11 Normal Breath Sounds (p. 430) Pitch: Low Amplitude: Soft Duration: Inspiration >
Vesicular: Expiration Quality: rustling, like wind in trees.
Normal Location: over peripheral lung fields,
where air flows through smaller bronchioles and
aveoli.
12 Abnormal Findings: Adventitious Crackles: fine Crackles: coarse Atelectatic crackles
Lung Sounds Discontinuous Pleural friction rub.
sounds (4)
13 Abnormal Findings: Adventitious Wheeze: sibilant (high pitched) Wheeze:
Lung Sounds Continuous Sounds sonorous rhonchi (low pitched, loud, coarse
(3) sounding. Similar to snore) Stridor: airway
obstruction
14 Landmarks: Thoracic Cage Suprasternal notch, sternum, manubriosternal
Anterior Thoracic angle, costal angle.
15 Landmarks: Thoracic Cage Vertebra prominens, spinous processes, inferior
Posterior Thoracic border of scapula, twelfth rib.
16 Anterior Thoracic Cage Pic
17 Reference Lines (5) Midsternal, Midclavicular, Scapular, Vertebral,
Anterior/Posterior Mid-axillary.
18 Reference Lines Pic (1/2)
# Term Definition
1 Five Factors that can affect 1. Examiner's breathing on stethoscope tubing.
auscultation 2. Stethoscope tubing bumping together. 3. Pt
shivering 4. Pt's hairy chest; movement of hairs
can sound like crackles. 5. Rustling of paper
gowns/drapes.
2 Subjective Data: Health History Cough, shortness of breath, chest pain w/
(hx) breathing, hx of respiratory infections, smoking
hx, environmental exposure, self-care behavior.
3 Objective Data: Physical Exam Shape/Configuration of chest wall,
Posterior Chest: Inspect what on anteroposterior/transverse diameter, position of
the thoracic cage? pt, skin color/condition.
4 Objective Data: Physical Exam Symmetric expansion, tactile (vocal) fremitus
Posterior Chest: Palpate what on (technique, factors that affect normal intensity),
the thoracic cage? entire chest wall.
5 Objective Data: Physical Exam Predominant note over lung fields,
Posterior Chest: Percuss what on diaphragmatic excursion.
the thoracic cage?
6 Objective Data: Physical Exam Breath Sounds: technique, bronchial,
Posterior Chest: Auscultate what bronchovesicular, vesicular. Adventitious Sounds:
on the thoracic cage? crackles, wheeze, atelectatic crackles. Voice
Sounds: Bronchophony, egophony, whispered
pectoriloquy
7 Objective Data: Physical Exam Shape/Configuration of chest wall, facial
Anterior Chest: Inspect what on expression, level of consciousness, skin
the thoracic cage? color/condition, quality of respiration, rib
interspaces, accessory muscles.
8 Objective Data: Physical Exam Breath sounds, abnormal breath sounds,
Anterior Chest: Auscultate for adventitious sounds.
what on the thoracic cage?
9 Normal Breath Sounds (p. 430) Pitch: High Amplitude: Loud Duration: Inspiration
Bronchial: < Expiration Quality: harsh, hollow, tubular
Normal Location: trachea/larnyx
, NURSING
# Term Definition
10 Normal Breath Sounds (p. 430) Pitch: Moderate Amplitude: Moderate Duration:
Bronchovesicular: Inspiration = Expiration Quality: mixed Normal
Location: over major bronchi where fewer alveoli
are located: Posterior (between scapulae,
especially on right); Anterior (around upper
sternum in 1st and 2nd intercostal space).
11 Normal Breath Sounds (p. 430) Pitch: Low Amplitude: Soft Duration: Inspiration >
Vesicular: Expiration Quality: rustling, like wind in trees.
Normal Location: over peripheral lung fields,
where air flows through smaller bronchioles and
aveoli.
12 Abnormal Findings: Adventitious Crackles: fine Crackles: coarse Atelectatic crackles
Lung Sounds Discontinuous Pleural friction rub.
sounds (4)
13 Abnormal Findings: Adventitious Wheeze: sibilant (high pitched) Wheeze:
Lung Sounds Continuous Sounds sonorous rhonchi (low pitched, loud, coarse
(3) sounding. Similar to snore) Stridor: airway
obstruction
14 Landmarks: Thoracic Cage Suprasternal notch, sternum, manubriosternal
Anterior Thoracic angle, costal angle.
15 Landmarks: Thoracic Cage Vertebra prominens, spinous processes, inferior
Posterior Thoracic border of scapula, twelfth rib.
16 Anterior Thoracic Cage Pic
17 Reference Lines (5) Midsternal, Midclavicular, Scapular, Vertebral,
Anterior/Posterior Mid-axillary.
18 Reference Lines Pic (1/2)
