Ms.Chinn is a 58-year-old female with a medical history of chronic obstructive pulmonary disease (chronic bronchitis). She is visiting her primary health care provider for her 6-month check-up. The nurse begins a comprehensive respiratory assessment by asking Ms. Chinn about her ADLs and dyspnea. Ms. Chinn replies that she gets short of breath after climbing a flight of steps to her bedroom,or if she has to walk uphill anywhere. She states “as long as the sidewalk is flat, I can walk forever as long as I go slow.”

1. The nurse prepares to assess Ms. Chinn's respiratory status using auscultation.What is the appropriate sequence the nurse should use for Ms. Chinn?

      2. While percussing Ms. Chinn’s thorax, the nurse notes that the some of the percussion sounds are moderately loud, hollow, and low,           while other sounds are very loud, high pitched, and booming.

      What do these sounds indicate?