Question

The nurse is auscultating the anterior chest of a client and hears gurgles. what is the nurse's appropriate action

Answer 1

Document the presence of rhonchi(grugle, wheezing noise) in the upper lobes and complete the assessment.

rhonchi

Answer 2

In the given case, the appropriate action of the nurse would be to assess patients for unusual breath sounds.

In the given case, while auscultating the anterior chest of a client, the nurse hears gurgles sound, and this kind of sound can signify the condition known as rhonchi. Rhonchi refers to spontaneous rattling, low pitched sounds of lungs, which is usually identical to snoring.

Secretions or obstruction in larger airways are the common reasons of rhonchi. They can be heard in patients with COPD, pneumonia, bronchiectasis, cystic fibrosis, or chronic bronchitis.