When listening to a patient's breath sounds, the nurse is unsure ...

[KimWrice]

When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. The nurse's next action should be to:
 
  a. Immediately notify the patient's physician.
  b. Document the sound exactly as it was heard.
  c. Validate the data by asking a coworker to listen to the breath sounds.
  d. Assess again in 20 minutes to note whether the sound is still present.

Question 2

The patient's record, laboratory studies, objective data, and subjective data combine to form the:
 
  a. Data base.
  b. Admitting data. c.
  Financial statement.
  d. Discharge summary.

[aprice35067]

Answer to Question 1

ANS: C
When unsure of a sound heard while listening to a patient's breath sounds, the nurse validates the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expert to listen.

Answer to Question 2

ANS: A
Together with the patient's record and laboratory studies, the objective and subjective data form the data base. The other items are not part of the patient's record, laboratory studies, or data.