The nurse is auscultating a patient's lungs but is unable to hear much air movement. What is the nurse's next step in the attempt to most effectively hear the lung sounds?

a. Try another stethoscope.
b. Have the patient assume a side-lying position.
c. Ask the patient to breathe deeply through the mouth.
d. Have the patient rest between breaths.


ANS: C
Asking the patient to breathe deeply through the mouth can help enhance the sounds. Allow the patient to rest at intervals to prevent hyperventilation. If this does not work, then trying another stethoscope may be helpful. Sitting, not side-lying, best helps the patient to take deep breaths. Having the patient rest is helpful if he or she is fatigued or dyspneic but will not make breath sounds easier to hear.

Nursing

You might also like to view...

__________ develops when client lacks intrinsic factor

Fill in the blank(s) with correct word

Nursing

A patient has sustained a partial-thickness burn of 28% of total body surface area (TBSA) and full-thickness burn of 30% or greater of TBSA. How should the nurse classify this burn injury?

1. major 2. moderate 3. minor 4. superficial

Nursing

An adolescent client being seen in the ambulatory clinic is experiencing a period of rapid growth

The nurse notes that the client is well groomed, is sitting erect in the chair, and openly answers questions. The nurse concludes through these observations that which of the following client attributes is intact? 1. self-concept 2. role performance ability 3. body image 4. personal identity

Nursing

A nurse is teaching a client about a medication that is scheduled to be administered q.i.d. The client states that she does not use a watch or clock and lives without a daily routine. Which teaching would be most helpful for the client?

a. Instruct the client to take the medication each morning and evening when brushing her teeth. b. Teach the client to take the medication at lunch every day. c. Provide the client with a watch to ensure she takes the medication at correct times. d. Instruct the client to take the medication with meals and at bedtime each day.

Nursing