The nurse coming on duty received in report that the client's lung sounds were clear to auscultation in all lobes. The nurse coming on heard moderate-intensity and moderate-pitch "blowing" sounds between the scapulae and lateral to the sternum at the first and second intercostal spaces when doing her own assessment. Which should the nurse do next?

A. Encourage the client to cough and deep breathe.
B. Notify the healthcare provider of abnormal breath sounds.
C. Document assessment findings as normal breath sounds.
D. Raise the head of the bed to allow maximum air excursion.


Answer: C

Nursing

You might also like to view...

A decision-making process using a series of steps to make logical choices that maximizes the achievement of the objective is the:

1. Political decision-making model. 2. Experimentation process. 3. Normative decision-making model. 4. Trial-and-error method.

Nursing

A pediatric nurse admits a child who has a history of ADHD. The nurse is aware that ADHD may display as:

a. poor coordination and abnormal electroencephalogram (EEG). b. abnormal EEG and decrease in intelligence. c. minimal brain dysfunction and marked decrease in intelligence. d. developmental delay and poor coordination.

Nursing

The correct positioning of a patient is referred to as

A) therapeutic positioning. B) body mechanics. C) diagnostic positioning. D) body alignment.

Nursing

You are working with a food service manager to design a kitchen for a long term care facility. Which of these is the main factor for decisions?

a. menu chosen b. staff expertise c. cooking equipment d. none of these

Nursing