A nurse is conducting a lung assessment on a client suspected of having pneumonia. Which finding should the nurse report to the physician immediately?
Asymmetrical chest expansion
Breath sounds equal bilaterally
Bilateral symmetric vocal fremitus
Chest symmetrical
The Correct Answer is A
During a lung assessment on a client suspected of having pneumonia, the nurse should report asymmetrical chest expansion to the physician immediately. Asymmetrical chest expansion can be a sign of a serious lung condition such as pneumonia. The other options (Breath sounds equal bilaterally, Bilateral symmetric vocal fremitus, and Chest symmetrical) are normal findings and do not need to be reported immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The most appropriate statement by the nurse would be to explain the procedure to the client and reassure them that it should not be painful. This can help alleviate the client's anxiety and make them feel more comfortable and informed about the assessment.
Correct Answer is B
Explanation
The nurse would question the discharge of a client to be cared for by the family if the client and family lack knowledge of the treatment regimen. It is important for the client and family to have a good understanding of the treatment regimen in order to provide safe and effective care at home. The other options (The client will need sterile dressing changes, The client will be discharged with a feeding tube, and The client will be receiving IV medications by home health nurses) are not situations that would necessarily prevent discharge to be cared for by the family.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today