When assessing tactile fremitus, the nurse recalls that it is normal to feel tactile fremitus most intensely over which location? Checking for tactile fremitus is a quick, easy, and low-cost way to evaluate a patient. Nurse Betty is assessing tactile fremitus in a client with pneumonia. A nurse is assessing for vocal (tactile) fremitus on a patient with pulmonary edema.

a. Systematically percuss the posterior chest wall following the same pattern that is used for auscultation and listen for a change in tone from resonant to dull. Tactile Fremitus: Normal lung transmits a palpable vibratory sensation to the chest wall. This is referred to as fremitus and can be detected by placing the ulnar aspects of both hands firmly against either side of the chest while the patient says the words "Ninety-Nine." B) increased tactile fremitus and dull percussion tones. If the nurse carefully assesses the breath sounds, those others may not need to be charted, but are still used to confirm the nurse’s assessment of the patient’s problem. Tactile fremitus can be felt by physicians as the swollen organs vibrate when patients cough. During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of: A) adventitious sounds and limited chest expansion. The assessment findings include cyanosis, tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. X-rays and other medical imaging studies can be used instead, to check for issues like deposits of … NSG 302 > Chapters 20-24, 26, 30 > Flashcards Flashcards in Chapters 20-24, 26, 30 Deck (334) 0 A 55 y.o.

Fremitus refers to vibratory tremors that can be felt through the chest by palpation. If the nurse is unfamiliar with naming the individual breath sounds, you should be very descriptive when charting. The assessment findings include cyanosis, tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. While assessing for tactile fremitus, the nurse palpates almost no vibration. Tactile Fremitus (vocal fremitus) - client says "99" while examiner palpates the thorax using palmar surface of fingers or ulnar aspect of hand. pt is scheduled for spirometry testing for evaluation of chronic obstructive pulmonary disease (COPD).

D) absent voice sounds and hyperresonant percussion tones. While the patient is speaking, palpate the chest from one side to the other.

C) muffled voice sounds and symmetrical tactile fremitus. 21. 301 - Chapter 18 DRAFT. Normal fremitus B. A.

Percussion: b. The nurse interprets that these assessment findings are consistent with: ... decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left.