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31. Which of the following breath sounds auscultated over the base of the lungs during inspiration would direct the nurse to perform a focused physical assessment on the patient?
A Broncho vesicular breath sounds
b Vesicular breath sounds
C Bronchial breath sounds
d. Adventitious breath sounds

Step 1/1








Ans : b Vesicular breath sounds Breath sounds are classified into normal tracheal sound, normal lung sound or vesicular breath sounds, and bronchial breath sound. Bronchial breath sounds are further subdivided into three types: Tubular, cavernous, and camphoric. Regional Variations in the Intensity of Breath Sound Essay Paper










 	Explanation for step 1
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Vesicular breath sound is a misnomer as vesicles means alveoli, and this gives the impression that the breath sound is originating at the alveolar level. However, breath sounds cannot be generated at the alveolar level since airflow is laminar within the alveoli. The expiratory sound is audible only in the early phase. The short expiratory phase is due to the passive nature of expiration resulting in generation of less turbulent airflow. The origin of both phases of respiration is also indifferent sites. The inspiratory component originates in the lobar and segmental airways, whereas the expiratory component arises from more central airways. Therefore, turbulence generated during expiration moves away from the chest wall and become fainter. Lung sounds normally peak at frequencies below 100 Hz, with a sharp drop of sound energy occurring between 100 and 200 Hz, but it can still be detected at or above 800 Hz with sensitive microphones









Final answer








There are regional variations in the intensity of breath sound. At the apex, intensity decreases with the progression of inspiration performed from residual volume whereas, at the base, initially the sound is less intense, and with the progression of inspiration, the intensity gradually increases.  Regional Variations in the Intensity of Breath Sound Essay Paper

Expert Answer

Question

31. Which of the following breath sounds auscultated over the base of the lungs during inspiration would direct the nurse to perform a focused physical assessment on the patient?

A Broncho vesicular breath sounds

b Vesicular breath sounds

C Bronchial breath sounds

d. Adventitious breath sounds

Step 1/1
Ans : b Vesicular breath sounds Breath sounds are classified into normal tracheal sound, normal lung sound or vesicular breath sounds, and bronchial breath sound. Bronchial breath sounds are further subdivided into three types: Tubular, cavernous, and camphoric. Regional Variations in the Intensity of Breath Sound Essay Paper
Vesicular breath sound is a misnomer as vesicles means alveoli, and this gives the impression that the breath sound is originating at the alveolar level. However, breath sounds cannot be generated at the alveolar level since airflow is laminar within the alveoli. The expiratory sound is audible only in the early phase. The short expiratory phase is due to the passive nature of expiration resulting in generation of less turbulent airflow. The origin of both phases of respiration is also indifferent sites. The inspiratory component originates in the lobar and segmental airways, whereas the expiratory component arises from more central airways. Therefore, turbulence generated during expiration moves away from the chest wall and become fainter. Lung sounds normally peak at frequencies below 100 Hz, with a sharp drop of sound energy occurring between 100 and 200 Hz, but it can still be detected at or above 800 Hz with sensitive microphones
Final answer
There are regional variations in the intensity of breath sound. At the apex, intensity decreases with the progression of inspiration performed from residual volume whereas, at the base, initially the sound is less intense, and with the progression of inspiration, the intensity gradually increases.  Regional Variations in the Intensity of Breath Sound Essay Paper

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