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

Answer and Explanation

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.

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Correct Answer is D

Explanation

It would be inappropriate to delegate the unsupervised task of transferring a client from bed to chair to an unlicensed assistant (UAP) if it was the client's first time out of bed after surgery. In this situation, the client may have specific needs or limitations that require the expertise and assessment of a licensed healthcare provider. The nurse should supervise the transfer to ensure that it is performed safely and appropriately for the client's condition.

A. "I know what you mean: you need an antibiotic." B. "Antibiotics have no eﬀect on viruses." C. "Why do you think you need an antibiotic?" D. "Let me talk to the physician and see what we can do."

Correct Answer is B

Explanation

The most appropriate response by the nurse would be to explain to the client that antibiotics have no eﬀect on viruses. Upper respiratory infections, such as the common cold, are caused by viruses and therefore antibiotics would not be eﬀective in treating the infection. It is important for the nurse to educate the client about the appropriate use of antibiotics and to address any misconceptions they may have.

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A nurse is conducting a lung assessment on a client suspected of having pneumonia. Which finding should the nurse report to the physician immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?

Correct Answer is D

Explanation

A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me an antibiotic." What would be the most appropriate response by the nurse?

Correct Answer is B

Explanation

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