Asked by Aslihan Gozkaman on May 23, 2024
Verified
The nurse is performing a lung assessment on a client with suspected pneumonia.Which of the following assessments should the nurse report to the physician immediately?
A) Presence of mydriasis
B) Breath sounds equal bilaterally
C) Asymmetric chest expansion
D) Bilateral vocal fremitus
Lung Assessment
The evaluation of lung sounds, function, and overall respiratory health.
Pneumonia
An inflammatory condition of the lung primarily affecting the small air sacs known as alveoli, usually caused by infection.
Mydriasis
Enlarged pupils.
- Distinguish between normal and irregular findings in medical assessments.
Verified Answer
MA
Maria AnagnostopoulosMay 26, 2024
Final Answer :
C
Explanation :
Asymmetric chest expansion can indicate a collapsed lung or pleural effusion, which are urgent conditions. Mydriasis may indicate an adverse reaction to medication, but is not directly related to the lung assessment. Breath sounds and vocal fremitus can provide important information about lung function, but they do not indicate an immediate need for medical intervention.
Learning Objectives
- Distinguish between normal and irregular findings in medical assessments.
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