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When assessing tactile fremitus, increased tactile fremitus is expected under which condition?

A.

asthma

B.

emphysema

C.

pneumothorax

D.

acute bronchitis

E.

pneumonia

Answer and Explanation

The Correct Answer is E

A. In asthma, increased airway resistance can lead to decreased fremitus due to air trapping and poor conduction of vibrations.

 

B. Emphysema results in hyperinflated lungs, which typically decreases tactile fremitus because of increased air in the alveoli.

 

C. Pneumothorax involves air in the pleural space, leading to decreased tactile fremitus as well, since air does not conduct vibrations well.

 

D. Acute bronchitis can cause some changes in fremitus, but it typically does not significantly increase it.

 

E. Pneumonia causes consolidation of lung tissue, which increases tactile fremitus due to enhanced transmission of vibrations through solidified lung tissue.


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View Related questions

Correct Answer is B

Explanation

A. Using the incentive spirometer is primarily aimed at preventing respiratory complications, not directly related to DVT prevention.

B. Dangling the legs off the bed promotes blood flow and prepares the client for ambulation, which helps prevent venous stasis and reduces the risk of DVT.

C. Encouraging ambulation is crucial for DVT prevention, but this task typically requires nursing judgment and assessment.

D. Keeping the knees elevated for prolonged periods may increase the risk of venous stasis, potentially contributing to DVT formation.

E. Limiting fluids without a clinical indication can lead to dehydration, which may increase the risk of blood clots.

Correct Answer is E

Explanation

A. Providing care based on predetermined criteria may not be responsive to the unique cultural needs of each client.

B. Focusing solely on hospital unit workflow prioritizes efficiency over individualized patient care, which may not respect cultural differences.

C. This approach fails to acknowledge the diverse values and beliefs of clients, which can lead to miscommunication and unmet needs.

D. This implies a top-down approach to care, which may disregard the client’s preferences and cultural context.

E. Honoring the client's differences and perspectives demonstrates the nurse's commitment to culturally responsive care, ensuring that care is tailored to meet the unique needs of each client.

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