Question

The nurse is assessing the patient for respiratory complications of immobility. Which action will the nurse take when assessing the respiratory system?

a.Inspect chest wall movements primarily during the expiratory cycle.
b.Auscultate the entire lung region to assess lung sounds.
c.Focus auscultation on the upper lung fields.
d.Assess the patient at least every 4 hours.

Answer 1

When assessing the respiratory system for complications of immobility, the nurse should focus on auscultating the entire lung region to assess lung sounds.

Step-by-step explanation:

When assessing the respiratory system for potential complications of immobility, the nurse should focus on auscultating the entire lung region to assess lung sounds. This is because abnormalities in lung sounds can indicate respiratory problems and allow for early intervention. Inspecting chest wall movements primarily during the expiratory cycle, focusing auscultation on the upper lung fields, and assessing the patient at least every 4 hours are not specific actions related to assessing respiratory complications of immobility.