Question

A client returns to the unit following a pyelolithotomy through a flank incision. Which assessment finding does the nurse expect?

1. Breath sounds that are clear on the nonoperative side, diminished on the operative side.
2. Breath sounds that are diminished on the nonoperative side, clear on the operative side.
3. Breath sounds that are diminished on both sides.
4. Breath sounds that are clear on both sides.

Answer 1

Following a pyelolithotomy through a flank incision, the nurse would expect to find breath sounds that are diminished on the operative side.

Step-by-step explanation:

Following a pyelolithotomy through a flank incision, the nurse would expect to find breath sounds that are diminished on the operative side. This is because the surgical procedure involves accessing the kidney through a flank incision, which can affect the functioning of the lung on the same side. The nonoperative side would have relatively clear breath sounds as it is unaffected by the surgery.