Name that Lung Sound? Lung Sound Quiz | NCLEX REVIEW

Summary

In this video, Nurse Practitioner Tina presents a pop quiz on abnormal lung sounds, including wheezing, crackles, stridor, and friction rub. She explains the causes, nursing interventions, and provides tips for understanding each sound. For example, fine crackles sound like hair rubbing together, while coarse crackles resemble blowing through a straw underwater. The video also discusses the absence of breath sounds and their significance. Tina encourages viewers to learn through sound examples and offers helpful links for further review. This educational video is great for those wanting to refresh their knowledge on respiratory sounds.

Takeaways

• 📚 The video introduces a pop quiz on abnormal lung sounds with a quick review of causes and nursing interventions.
• 👩‍⚕️ The presenter is Tina, a nurse practitioner, who invites viewers to subscribe and turn on the notification bell.
• 🎶 The first lung sound is wheezing, characterized by a high-pitched, musical sound during expiration, often caused by asthma, mucus buildup, or bronchospasms.
• 💊 Nursing interventions for wheezing include using an inhaler, nebulizer treatments, and antihistamines.
• 🔊 Fine crackles are high-pitched, short-duration sounds heard at the end of inspiration and are associated with conditions like early heart failure, pneumonia, and pulmonary edema.
• 💦 Coarse crackles, in contrast, are low-pitched, moist sounds that don't clear with coughing and are linked to heart failure, COPD, and pneumonia.
• 🐦 Stridor is a continuous crowing sound from partial larynx or trachea obstruction, with nursing interventions like corticosteroids, humidification, and racemic epinephrine.
• 🔕 Absent breath sounds, associated with conditions like pneumothorax or lung surgery, indicate no audible sounds over auscultation.
• 🧊 Friction rub is a harsh, dry sound due to loss of pleural fluid from inflammation, with nursing interventions focusing on pain management and NSAIDs.
• 📘 The video wraps up with a reminder to subscribe and stay tuned for more content on respiratory sounds.

Q & A

What is the first abnormal lung sound mentioned in the video?

The first abnormal lung sound mentioned is wheezing, a high-pitched musical, squeaky sound heard during expiration. It can be caused by a buildup of mucus, asthma, or bronchospasms.

What are some nursing interventions for wheezing?

Nursing interventions for wheezing include the use of inhalers, nebulizer treatments, and antihistamines to control secretions.

What is the difference between fine crackles and coarse crackles?

Fine crackles have a high-pitched popping sound, can clear with a cough, and are short in duration. Coarse crackles have a low-pitched, bubbly, harsh sound, do not clear with a cough, and have a longer duration.

What conditions are associated with fine crackles?

Fine crackles are associated with early heart failure, pulmonary edema, pneumonia, atelectasis, and idiopathic pulmonary fibrosis.

What does Stridor sound like and what are its causes?

Stridor is a constant-pitch, continuous crowing or musical sound caused by partial obstruction of the larynx or trachea. It can also be heard in cases of croup.

What nursing interventions are recommended for patients with Stridor?

Nursing interventions for Stridor include elevating the head of the bed, providing corticosteroids, humidification, and using racemic epinephrine in some cases.

What is indicated by an absent breath sound during auscultation?

An absent breath sound can indicate a complete or partial lung collapse (atelectasis), a lobectomy, a pneumonectomy, or a main stem bronchi obstruction.

What is the cause of a pleural friction rub sound?

A pleural friction rub is caused by the loss of lubricating pleural fluid, often due to inflammation, and creates a harsh, dry, grading sound.

What are common nursing interventions for a patient with a pleural friction rub?

Nursing interventions include focusing on pain management and using non-steroidal anti-inflammatory drugs (NSAIDs).

What is the purpose of using an incentive spirometer for patients with lung conditions?

An incentive spirometer is used to promote deep breathing and help clear secretions, which can prevent or treat conditions like atelectasis and pneumonia.