A nurse in a provider's office is preparing to auscultate and percuss a client’s thorax as part of a comprehensive physical examination. Which of the following are considered normal findings? Select all that apply

Resonance

Tactile fremitus

Bronchovesicular sounds.

Rhonchi

Crackles

Answer and Explanation

Correct Answer : A,B,C

A.   Resonance is a normal percussion sound heard over healthy lung tissue.
B.   Tactile fremitus refers to the palpable vibration felt when a patient speaks and is normal in areas of healthy lung tissue.
C.   Bronchovesicular sounds are normal breath sounds heard over the mainstem bronchi and are considered normal.
D.   Rhonchi are adventitious sounds (abnormal) heard in conditions like bronchitis and would not be considered normal.
E.   Crackles are also abnormal breath sounds often heard in conditions such as pneumonia or heart failure.

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Correct Answer is C

Explanation

A. Xerostomia (dry mouth) is common in some conditions but not typically associated with a stroke.
B. Rhinorrhea (runny nose) is not a typical finding related to stroke.
C. Dysphagia (difficulty swallowing) is a common issue for patients after a stroke, especially if the stroke affects the areas of the brain responsible for swallowing.
D. Epistaxis (nosebleed) is not a direct consequence of a stroke. The nurse should be more concerned with symptoms related to swallowing, speech, and motor function, such as dysphagia.

A. Top-to-bottom comparison B. Posterior-to-anterior comparison C. Interspace-by-interspace comparison D. Side-to-side comparison

Correct Answer is D

Explanation

A. Top-to-bottom comparison is not the best method for auscultation. A more systematic approach is needed.
B. Posterior-to-anterior comparison does not apply to all auscultation areas, and a consistent method across the thorax is preferred.
C. Interspace-by-interspace comparison involves comparing sounds across different intercostal spaces but is not a method for transitioning between sites.
D. Side-to-side comparison ensures the nurse is assessing both sides of the thorax equally and systematically, which is the correct approach.

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A nurse in a provider's office is preparing to auscultate and percuss a client’s thorax as part of a comprehensive physical examination. Which of the following are considered normal findings? Select all that apply

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Naxlex Comprehensive Predictor Exams

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