After auscultating a patient's chest, the nurse reports the findings to the preceptor. Which statement would indicate the need for immediate reassessment by the preceptor?
1. "I heard coarse crackles earlier, but now they sound finer.".
2. "I heard wheezing earlier, but now I don't hear it.".
3. "There are coarse crackles that clear with coughing.".
4. "The patient was clear, but now there are scattered wheezes bilaterally.".
2
Rationale 1: Coarse and fine are descriptors for crackles.
Rationale 2: The absence of wheezing in a patient who had wheezing before may indicate impending respiratory arrest. The preceptor should reassess the patient immediately. There is also a possibility that therapy has reduced the wheezes and that no emergency exists.
Rationale 3: This finding is not indicative of the need for immediate action.
Rationale 4: This finding is not indicative of the need for immediate action.
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