Which of the following respiratory findings will the nurse expect to find upon assessment of a patient with a pleural effusion?
A) Increased tactile fremitus, egophony, and a dull sound upon percussion of the chest wall
B) Decreased tactile fremitus, wheezes, and a hyperresonant sound upon percussion of the chest wall
C) Absent tactile fremitus, bronchial breath sounds, and a flat sound upon percussion of the chest wall
D) Normal tactile fremitus, decreased breath sounds, and a resonant sound upon percussion of the chest wall
Ans: C
Feedback: Assessment findings consistent with a pleural effusion include absent tactile fremitus, a dull to flat sound upon percussion of the chest wall, and a variety of breath sounds upon auscultation. Breath sounds consistent with a pleural effusion include decreased to absent breath sounds, bronchial breath sounds and bronchophony, egophony, and whispered pectoriloquy above the effusion over the area of compressed lung.
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