A male client arrives at the clinic for follow-up health assessment after recent antibiotic treatment for pneumonia without hospitalization. Which technique should the nurse implement to assess for adventitious lung sounds?

Have the client lay flat while listening to the anterior surface of the chest.

Shave all chest hair that may distort sounds heard through the diaphragm.

Use the bell of the stethoscope to listen to the lung fields over lower lobes.

Press the stethoscope's diaphragm firmly on the skin over each lung field.

Answer and Explanation

The Correct Answer is D

A. Have the client lay flat while listening to the anterior surface of the chest. This position may not allow optimal lung expansion and can cause discomfort, especially in clients with respiratory issues. It is generally better to assess lung sounds with the client in an upright position.

B. Shave all chest hair that may distort sounds heard through the diaphragm. While chest hair can sometimes interfere with sound transmission, shaving is not a practical or necessary step. Pressing the stethoscope firmly can usually mitigate this issue.

C. Use the bell of the stethoscope to listen to the lung fields over lower lobes. The bell is more sensitive to low-pitched sounds, like heart murmurs, and not ideal for lung auscultation. The diaphragm is preferred for assessing lung sounds.

D. Press the stethoscope's diaphragm firmly on the skin over each lung field. This is the best choice because the diaphragm of the stethoscope is more effective at transmitting high-frequency sounds, which are common in lung auscultation. Pressing firmly ensures better contact and clearer sounds.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Flex the hip and knee while standing. This maneuver is more difficult and less controlled, not typically used to assess hip dysfunction.

B. Abduct each hip while the client is supine. This is a common and effective maneuver to assess for hip dysfunction, particularly for range of motion and pain.

C. Observe balance while the client stands. While this can indicate overall stability, it does not specifically assess for hip dysfunction.

D. Inspect gluteal folds for symmetry. This can indicate a gross abnormality, but it is not a definitive test for hip dysfunction.

A. ever had problems with your blood sugar?" B. been sleeping well?" C. been depressed lately?" D. had anything to eat in the last 24 hours?"

Correct Answer is B

No explanation

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A male client arrives at the clinic for follow-up health assessment after recent antibiotic treatment for pneumonia without hospitalization. Which technique should the nurse implement to assess for adventitious lung sounds?

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