We appreciate your visit to A nurse is assessing several patients Which assessment findings will cause the nurse to follow up A Orthopnea B Nonpalpable lymph nodes C Pleural friction. This page offers clear insights and highlights the essential aspects of the topic. Our goal is to provide a helpful and engaging learning experience. Explore the content and find the answers you need!
Answer :
Orthopnea, pleural friction rub, and crackles in lower lung lobes are abnormal findings that warrant a nurse's follow-up, as they suggest potential respiratory issues. So, options (A) (C) & (D) are correct.
The assessment findings that would cause a nurse to follow up include A. Orthopnea, which is difficulty breathing when lying down, C. Pleural friction rub present, an abnormal sound indicating pleural inflammation, and D. Crackles in lower lung lobes, which are abnormal lung sounds indicative of fluid or secretions in the lung tissue.
These findings suggest possible respiratory complications that need immediate attention. Nonpalpable lymph nodes are typically a normal finding, while a grade 5 muscle function level is ideal. A 160-degree angle between nail plate and nail could indicate clubbing but may not be immediate cause for follow-up without other symptoms.
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