I'm a new grad RN from Ca. It's my first job as a nurse, a client becomes lethargic, restless, 02 sat shows 87%, but V/S normal. I charted diminished lung sounds and requested CXR to be done. How do I really hear a diminished lung sounds, he's on dialysis and has a non healing wound at the back. maybe because he's in too much pain or just tired of the dialysis, or there is impending S/S of pneumonia or atelactasis whatever.