Assess Lung Sounds. Listen from the front and back. Lung assessment for nursing students and nurses of the anterior and posterior lungs. At the 4th intercostal space you will be assessing the right middle lobe and the left upper lobe. Auscultating lung sounds 13.
Assess for fremitus or subcutaneous emphysema. Rhonchi a low pitched breath sound crackles a high pitched breath sound wheezing a high pitched whistling sound caused by narrowing of the bronchial tubes stridor a harsh vibratory sound. This video demonstrates how to listen to the lungs with a stethoscope on. In order to assess a patient s lung sounds auscultation must be performed using a stethoscope in order to hear the sounds as the patient breathes. Position resident for examination sitting lung sounds assessment evaluation checklist. Auscultating from the back will often result in clearer lung sounds.
The apex of the lung which is right above the clavicle then move to the 2nd intercostal space to assess the right and left upper lobes.
Assess for fremitus or subcutaneous emphysema. Let s go through the process of performing auscultation on a patient. Adventitious lung sounds are referenced as crackles rales wheezes rhonchi stridor and pleural rubs as well as voiced sounds that include egophony bronchophony and whispered pectoriloquy. In order to assess a patient s lung sounds auscultation must be performed using a stethoscope in order to hear the sounds as the patient breathes. Check vital signs including pulse oximetry. Rhonchi a low pitched breath sound crackles a high pitched breath sound wheezing a high pitched whistling sound caused by narrowing of the bronchial tubes stridor a harsh vibratory sound.