The Student Nurse Is Preparing to Auscultate the Client's Lungs

question 9

Multiple Choice

The student nurse is preparing to auscultate the client's lungs during the initial assessment. Which student nurse statement to the nurse preceptor indicates the need for further education prior to conducting the assessment?

• A) "I should think about how loud the auscultated sound is, the tone of the sound, and how long it lasts."
• B) "I should leave the client's television on during the assessment to make the client feel relaxed and comfortable during the assessment."
• C) "I have to remember to keep the client warm during this part of the assessment."
• D) "I cannot listen through the client's gown."

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Definitions:

Fluid Excess

A condition where there is an abnormal increase in bodily fluid.

Ischemic Response

A physiological reaction to reduced blood supply to tissues, leading to a shortage of oxygen and glucose needed for cellular metabolism.

Vasomotor Center

A regulatory area in the medulla oblongata of the brain responsible for controlling blood vessel diameter and thus blood pressure.

Blood Pressure

The force exerted by circulating blood upon the walls of blood vessels, often measured to assess heart and vascular health.