NSG 302 > Chapters 20-24, 26, 30 > Flashcards Flashcards in Chapters 20-24, 26, 30 Deck (334) 0 A 55 y.o. After checking for symmetrical chest expansion, feel for tactile fremitus. C) muffled voice sounds and symmetrical tactile fremitus. Percussion: Increased vocal fremitus C. Decreased or absent vocal fremitus Vibration (fremitus) During Quiet Inspiration and Expiration Palpate for Tracheal Deviation. Tactile Fremitus: “Tactile fremitus increases in intensity whenever the density of lung tissue increases, such as in consolidation or fibrosis, and will decrease when a lung space is occupied with an increase of fluid or air (e.g., pleural effusion, pneumothorax and emphysema).
... decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. D) absent voice sounds and hyperresonant percussion tones. The nurse interprets that these assessment findings are consistent While assessing for tactile fremitus, the nurse palpates almost no vibration. 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. Fremitus refers to vibratory tremors that can be felt through the chest by palpation. X-rays and other medical imaging studies can be used instead, to check for issues like deposits of … Nurse Betty is assessing tactile fremitus in a client with pneumonia.

b. Which is the appropriate technique to use? When assessing tactile fremitus, the nurse recalls that it is normal to feel tactile fremitus most intensely over which location? TACTILE FREMITUS Fluid and air in the thoracic cavity acts to insulate sounds → decreases breath sounds and decreases tactile fremitus … Checking for tactile fremitus is a quick, easy, and low-cost way to evaluate a patient. While the patient is speaking, palpate the chest from one side to the other. Tactile fremitus can be felt by physicians as the swollen organs vibrate when patients cough. 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. 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. If the nurse is unfamiliar with naming the individual breath sounds, you should be very descriptive when charting. To assess for tactile fremitus, ask the patient to say “99” or “blue moon”. Tactile Fremitus: Normal lung transmits a palpable vibratory sensation to the chest wall.

For this examination, nurse Betty should use the: A. Dorsal surface … B) increased tactile fremitus and dull percussion tones.

A.

Tactile Fremitus (vocal fremitus) - client says "99" while examiner palpates the thorax using palmar surface of fingers or ulnar aspect of hand. 21. A nurse is assessing for vocal (tactile) fremitus on a patient with pulmonary edema. 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." pt is scheduled for spirometry testing for evaluation of chronic obstructive pulmonary disease (COPD).

301 - Chapter 18 DRAFT. The nurse interprets that these assessment findings are consistent with: 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.

Normal fremitus B. 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.

when assessing for tactile fremitus the nurse