While auscultating a client's lungs, the nurse identifies more than one sound. Which of the following should the nurse do?
1. Obtain a stethoscope with longer tubing.
2. Ask another nurse to listen to the lung sounds.
3. Hold the stethoscope tubing while listening to the lung sounds.
4. Close the eyes and focus on one sound at a time.
4
Rationale 1: Long tubing on a stethoscope can distort sounds; this would not help the nurse identify chest sounds.
Rationale 2: Asking another nurse to listen to the lung sounds would not help the nurse discern the tones being heard.
Rationale 3: Touching the stethoscope tubing can cause additional sounds and should be avoided.
Rationale 4: Closing the eyes and concentrating on each sound may help the nurse focus on the sound.
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