Asked by Bianca Tolbert on Sep 28, 2024
Verified
The nurse is assessing the patient for respiratory complications of immobility. Which action will the nurse take when assessing the respiratory system?
A) Inspect chest wall movements primarily during the expiratory cycle.
B) Auscultate the entire lung region to assess lung sounds.
C) Focus auscultation on the upper lung fields.
D) Assess the patient at least every 4 hours.
Respiratory System
The biological system in humans and animals consisting of organs and structures used for breathing, such as the lungs and airways.
Lung Regions
Refers to the different anatomical sections of the lungs, such as the lobes (right and left) and segments, important for understanding respiratory function and disease.
Chest Wall Movements
The actions of the muscles and structures of the chest involved in the process of breathing.
- Understand the respiratory and metabolic complications associated with immobility.
Verified Answer
HB
Hailey Brockettabout 3 hours ago
Final Answer :
B
Explanation :
Auscultate the entire lung region to identify diminished breath sounds, crackles, or wheezes. Perform a respiratory assessment at least every 2 hours for patients with restricted activity. Inspect chest wall movements during the full inspiratory-expiratory cycle. Focus auscultation on the dependent lung fields because pulmonary secretions tend to collect in these lower regions.
Learning Objectives
- Understand the respiratory and metabolic complications associated with immobility.