The patient complains of chest pains that move down her left arm. The nurse will document this as:

Auscultating breath sounds is an essential component of a respiratory assessment. The following breath sounds can be heard during auscultation: Vesicular, Bronchial, Bronchovesicular, Crackles, Wheezes, and Rhonchi.

Vesicular sounds at the apex of the lungs (a) and vesicular sounds at the base of the lungs on the posterior chest (c) are normal findings. Vesicular sounds are soft and low-pitched, heard during inspiration, and are indicative of air moving through small airways and alveoli. The vesicular sounds are louder at the base of the lungs, where there is more alveolar tissue.

Rhonchi that disappear with coughing (d) can be normal or abnormal findings. Rhonchi are low-pitched, continuous sounds that are heard during inspiration and expiration. They are produced by the movement of air through narrowed or obstructed airways. If the rhonchi disappear with coughing, it may indicate that the airway has cleared.

Wheezes on inspiration (b) are abnormal findings and require prompt follow-up. Wheezes are high-pitched, whistling sounds heard during inspiration and expiration. They are indicative of air moving through narrowed airways and can be a sign of an underlying respiratory condition such as asthma, chronic obstructive pulmonary disease (COPD), or bronchitis. Prompt follow-up is necessary to diagnose and manage the underlying condition.

The nurse will document the patient's chest pains that move down her left arm as radiating pain. Radiating pain is a type of pain that starts at a specific point and spreads outwards to other areas of the body. In this case, the pain starts in the chest and moves down the left arm, which is a common symptom of cardiac or heart-related issues. Phantom pain is a type of pain that is perceived to be present in a body part that has been amputated or lost. Referred pain is pain that is felt in a different part of the body from where the actual problem is located. Somatic pain is pain that arises from the skin, muscles, bones, or connective tissues.