The nurse is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate nurse reflects a correct understanding of tactile fremitus? "Tactile fremitus…
indicates that air is present in the subcutaneous tissues."
reflects the blood flow through the pulmonary arteries."
is caused by moisture in the alveoli."
is caused by sounds generated from the larynx."
The Correct Answer is D
A. "...indicates that air is present in the subcutaneous tissues.":
Describes subcutaneous emphysema, not fremitus.
B. "...reflects the blood flow through the pulmonary arteries.":
Fremitus is not related to circulation.
C. "...is caused by moisture in the alveoli.":
Moisture in alveoli causes crackles, not tactile fremitus.
D. "...is caused by sounds generated from the larynx.":
Fremitus is the palpable vibration produced by vocalization, transmitted through bronchopulmonary tissues to the chest wall.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I need to go on to the next patient. I'll be back.":
Dismissive and does not offer the patient closure or opportunity for final questions.
B. "Did we forget something?":
Too vague and passive, may confuse the patient or fail to elicit remaining concerns.
C. "Is there anything else you would like to discuss?":
Open-ended and encourages the patient to voice final thoughts or unresolved concerns.
D. "While I'm here, let's talk about your upcoming surgery.":
Introduces a new topic instead of concluding the interview.
Correct Answer is C
Explanation
A. The sixth rib anteriorly and the eighth rib laterally:
Describes the borders of the bases of the lungs, not the apices.
B. Rest on the diaphragm at the fifth intercostal space in the midclavicular line (MCL):
Also refers to the base of the lung, not the apex.
C. Extend 3 to 4 cm above the inner third of the clavicles:
This is the correct anatomical landmark for the apices of the lungs.
D. The level of the second rib anteriorly:
Marks the angle of Louis (sternal angle), a reference point for rib counting-not the lung apices.
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