Hesi rn health assessment proctored exam
While auscultating a client's breath sounds, the nurse hears vesicular sounds in the bases of both lungs posteriorly. Which action should the nurse take in response to this finding?
Explanation & Rationale
A. Continue with the remainder of the client's physical assessment. Vesicular breath sounds are normal and expected over the lung bases, so the nurse should continue the assessment. B. Ask the client to cough and then auscultate at the site again. This action is unnecessary as vesicular breath sounds are normal. C. Report the client's abnormal lung sounds to the healthcare provider. This is incorrect as vesicular breath sounds are not abnormal. D. Measure the client's oxygen saturation with a pulse oximeter. There is no indication of abnormal breath sounds or respiratory distress, so this action is unnecessary.
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