The nurse auscultates the lung sounds of a patient with a pneumothorax every 4 hours. What is the nurse listening for during this auscultation?
a. Evidence of obstruction
b. Presence of crackles or wheezes
c. Evidence of bilateral lung sounds
d. Presence of secretions in the lungs
ANS: C
Lung sounds are absent over a pneumothorax. Return of bilateral sounds signifies that the lung is reinflated. A. B. D. Crackles, wheezes, secretions, or obstruction are concerning but do not provide direct information about pneumothorax.
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