Health Promotion and Maintenance NCLEX Questions - Nurselytic

Correct Answer: D

Rationale: When preparing to listen to a client's breath sounds, a nurse should ask the client to sit and lean forward slightly, with the arms resting comfortably across the lap. The client should be instructed to breathe through the mouth a little more deeply than usual but to stop if feeling dizzy. The nurse should use the flat diaphragm end-piece of the stethoscope, holding it firmly on the chest wall. By using the diaphragm, the nurse can listen for at least one full respiration in each location, moving from side to side to compare sounds. This technique ensures a systematic and thorough assessment of lung sounds.
Choice A is correct as it includes the proper positioning of the client and specifies the use of the diaphragm of the stethoscope.
Choice B is incorrect as both lungs should be auscultated systematically, starting from the top and moving down.
Choice C is incorrect as deep breaths, not shallow ones, are recommended for an accurate assessment of breath sounds.

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