The nurse auscultates the following lung sound in the client with pneumonia. What is the best intervention? (Click the media button to hear the audio clip.)
a. Have the client cough and deep breathe.
b. Prepare to administer a bronchodilator.
c. Have the client use an incentive spirome-ter.
d. Administer IV fluids.
C
The sound heard is crackles. Crackles often indicate atelectasis, which can be reversed by using an incentive spirometer. If no spirometer is available, coughing and deep breathing is the next best option. This client does not have wheezing, so bronchodilators are not indicated. IV fluids would not help atelectasis.
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