The nurse auscultates the lungs of a client who has been diagnosed with lung cancer and notes wheezing over one lung. The nurse should assess the client further for:
1. The presence of exudate in the airways.
2. The client’s history of smoking.
3. An indication of pleural effusion.
4. Obstruction of the airway by a tumor.
Wheezing over one lung in the presence of lung cancer is most likely caused by obstruction of the airway by a tumor. Exudate would be more likely to cause crackles. The client’s history of smoking would not cause unilateral wheezing. Pleural effusion would produce diminished or absent breath sounds.
CN: Physiological adaptation; CL: Apply
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