A nurse is providing care after auscultating clients' breath sounds. Which assessment finding is correctly matched to the nurse's primary intervention?
a. Hollow sounds are heard over the trachea. - The nurse increases the oxygen flow rate.
b. Crackles are heard in bases. - The nurse encourages the client to cough forcefully.
c. Wheezes are heard in central areas. - The nurse administers an inhaled bronchodilator.
d. Vesicular sounds are heard over the periphery. - The nurse has the client breathe deeply.
ANS: C
Wheezes are indicative of narrowed airways, and bronchodilators help to open the air passages. Hollow sounds are typically heard over the trachea, and no intervention is necessary. If crackles are heard, the client may need a diuretic. Crackles represent a deep interstitial process, and coughing forcefully will not help the client expectorate secretions. Vesicular sounds heard in the periphery are normal and require no intervention.
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