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Clinical Confidence • Student Nurse Guide

Recognising Abnormal Breath Sounds for Student Nurses

Build confidence recognising common changes in breath sounds, connecting what you hear with the patient's symptoms and observations, and knowing when respiratory findings require escalation.

Clinical confidence principle: breath sounds are findings, not diagnoses. Listen systematically, compare both sides and interpret what you hear alongside the patient's overall respiratory assessment.
The basics

Why do we listen to breath sounds?

Auscultation allows clinicians to listen to sounds generated as air moves through the respiratory system. Changes in airflow or conditions within the lungs and airways can alter the sounds heard through a stethoscope.

Air movement

Is air entering both sides?

Compare air entry across corresponding areas rather than listening to one location in isolation.

Added sounds

Can you hear something unexpected?

Wheeze, crackles and other unexpected sounds can provide useful information when interpreted in context.

Clinical picture

What does the patient look like?

Respiratory rate, effort, oxygenation, symptoms and consciousness may be more important than the sound itself.

Common findings

Breath sounds you may encounter

Finding What it may sound like Student nurse focus
Wheeze A musical or whistling sound, often more noticeable during expiration. Recognise the sound, assess the patient's breathing and avoid assuming a specific diagnosis from wheeze alone.
Crackles Discontinuous popping or crackling sounds heard during parts of the respiratory cycle. Consider where they are heard, the patient's symptoms and the wider respiratory and cardiovascular picture.
Reduced air entry Breath sounds appear quieter than expected in an area or across part of the chest. Compare both sides and connect the finding with chest movement, respiratory effort and symptoms.
Very quiet chest Markedly reduced respiratory sounds despite significant illness. In a severely unwell patient this can be particularly concerning and should prompt urgent assessment and escalation.
Unexpected upper-airway sound A harsh or unusual sound may be audible without a stethoscope. Prioritise airway assessment and obtain urgent help when airway compromise is suspected.
Important: breath sounds cannot establish a diagnosis by themselves. Similar sounds may occur in different conditions, and the patient's clinical state determines their significance.
Wheeze

Recognising wheeze

Wheeze is generally associated with airflow through narrowed airways. The important student-nurse skill is recognising the finding and assessing how unwell the patient is rather than attempting to determine the exact cause independently.

Listen

Notice the sound

Wheeze may be widespread or more localised and can vary in intensity.

Assess

Look at breathing effort

Respiratory rate, work of breathing, speech and oxygenation help determine the significance of the finding.

Trend

Watch for deterioration

Less wheeze does not automatically mean improvement if air movement and the patient's overall condition are worsening.

Crackles

Recognising crackles

Crackles are short, discontinuous sounds that may be heard during auscultation. They can occur in several different clinical situations, so their meaning depends on the wider assessment.

Think beyond the sound: if crackles are heard, consider the patient's breathlessness, respiratory rate, oxygenation, temperature, fluid status, cardiovascular findings and recent clinical history.
Systematic assessment

How to approach respiratory auscultation

1

Explain and prepare

Explain the assessment, obtain consent and maintain privacy and dignity.

2

Listen systematically

Follow the auscultation sequence taught within your programme and local clinical setting.

3

Compare corresponding areas

Comparing similar areas on each side can help identify obvious differences.

4

Connect what you hear

Interpret breath sounds alongside respiratory rate, effort, oxygenation and symptoms.

Within competence: respiratory auscultation requires supervised clinical learning. If you are uncertain about a finding, describe what you noticed and ask an appropriately qualified clinician to reassess the patient.
Recognise deterioration

When should abnormal breath sounds increase concern?

Breathing

Increasing respiratory effort

Marked work of breathing alongside abnormal sounds increases concern.

Oxygenation

Changing oxygen status

Interpret oxygen saturation against the prescribed target, oxygen therapy and wider clinical picture.

Speech

Difficulty communicating

A patient struggling to speak normally because of breathlessness may require urgent assessment.

Neurology

Confusion or drowsiness

New neurological change alongside respiratory illness is particularly concerning.

Asymmetry

One side sounds different

New unilateral findings should be connected with chest movement, symptoms and the wider assessment.

Overall condition

The patient looks seriously unwell

Clinical concern should never be dismissed because one observation remains within an expected range.

ABCDE

If the patient is deteriorating, move beyond auscultation

A

Airway

Check airway patency and identify any concerning airway sounds or obstruction.

B

Breathing

Assess rate, depth, effort, chest movement, oxygenation and relevant breath sounds.

C

Circulation

Assess pulse, blood pressure and peripheral perfusion.

D

Disability

Identify confusion, drowsiness or reduced consciousness.

E

Exposure

Consider temperature and other relevant findings while maintaining dignity.

!

Escalate

Obtain appropriate senior or emergency help according to local procedures when deterioration is suspected.

Clinical scenario

The breath sounds have changed

Example

A patient who was comfortable earlier becomes increasingly breathless. Their respiratory rate has risen and they are using more effort to breathe.

During supervised auscultation you hear new crackling sounds at the bases of the lungs.

You do not attempt to diagnose the cause from the sound alone. Instead, you recognise the pattern: new breathlessness + rising respiratory rate + increased effort + new auscultation finding.

You complete the appropriate assessment and communicate the change promptly to the registered nurse.

Communication

Describe what you hear and what has changed

Example escalation

“I'm concerned about Mrs Lewis. She is more breathless than earlier and her respiratory rate has increased. On supervised auscultation I can hear new crackling sounds at both lung bases.”

This communicates the finding without assigning an unsupported diagnosis.

Common mistakes

Errors to avoid

  • Trying to diagnose a condition from one breath sound.
  • Listening to the chest without first looking at the patient.
  • Failing to compare both sides.
  • Ignoring respiratory rate and work of breathing.
  • Assuming less wheeze always means improvement.
  • Focusing on terminology rather than recognising deterioration.
  • Delaying escalation while repeatedly trying to identify a sound.
Clinical Confidence Routine

Listen → compare → connect → escalate

Listen Recognise expected and unexpected respiratory sounds.
Compare Listen systematically and compare corresponding areas.
Connect Combine auscultation with rate, effort, oxygenation and symptoms.
Escalate Report new or concerning findings promptly.
Educational resource: this NurseNet guide supports student learning and does not replace supervised respiratory examination, individual clinical assessment, NEWS2, ABCDE, prescribed oxygen targets, local emergency procedures, clinical supervision or professional judgement.
Continue Clinical Confidence

Hear the sound — then assess the patient

Breath sounds become clinically useful when they are connected with respiratory rate, breathing effort, oxygenation, symptoms and the patient's overall condition.

Explore Clinical Confidence →