What should the RN expect to be ordered when crackles are heard during auscultation of the right lower lobe?

When crackles are heard during auscultation, particularly in the right lower lobe, this may indicate the presence of fluid within the lungs, such as pulmonary edema or other types of fluid overload conditions. The correct approach in this situation typically involves further evaluation of the underlying cause of the crackles.

One common diagnostic tool to assess lung conditions is a chest X-ray. It allows the healthcare provider to visualize any abnormalities such as fluid accumulation, consolidation, or other pathologies that might be contributing to the patient's respiratory symptoms.

Ordering a chest X-ray is an appropriate response because it helps confirm or rule out potential issues like pneumonia, heart failure, or other conditions that could lead to crackles. This imaging study is crucial for guiding appropriate treatment interventions.

In contrast, adjustments to fluid intake, changes in diuretics, or variations in estimated dry weight (EDW) might be considered later based on the findings of such diagnostic evaluations or the specific clinical scenario.