If unusual lung sounds are detected, what should the nurse do first?

If unusual lung sounds are detected, the primary action the nurse should take is to intervene and mobilize the patient. This is because mobilization can facilitate improved lung expansion and clearance of secretions. Depending on the situation, physical activity can help stimulate deep breathing and coughing, which may alleviate the presence of abnormal lung sounds caused by secretions or shallow breathing.

While notifying the physician is essential if the condition does not improve, or if it quickly deteriorates, immediate intervention by mobilizing the patient takes precedence in situations where the lung sounds indicate an issue that could be addressed physically. Increased oxygen levels may become necessary based on subsequent assessments, but the direct response to unusual lung sounds should be proactive in promoting effective airway management through patient mobilization. Documentation is crucial, but it follows the immediate assessment and care intervention.

Thus, prioritizing patient mobility addresses the potential underlying factors contributing to the lung sounds, making it the most immediate and appropriate response.