When the nurse is performing a physical examination of a patient who smokes and who is being admitted on the day of surgery, it is especially important to

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Abnormal breath sounds may indicate the presence of an acute respiratory infection or chronic lung disease that will impact proceeding with the scheduled surgery or the choice of anesthesia. The other nursing actions are also appropriate but will not impact the immediate surgical procedure as much.

When the Nurse Is Performing a Physical Examination of a Patient