The nurse is percussing the client's anterior chest and notes a dull sound over an area where lung tissue is normally found. Which of the following would the nurse associate with this finding?
1. This is a normal finding.
2. The client's heart may be enlarged.
3. The client has developed a murmur.
4. The client has a pulse deficit.
2
Rationale 1: This is not a normal finding. When the nurse percusses over lung tissue, the sound should be described as resonant.
Rationale 2: An enlarged heart emits a dull sound on percussion over a larger area than a heart of normal size.
Rationale 3: Murmurs can be determined during auscultation of the heart.
Rationale 4: A pulse deficit is present when the apical pulse is greater than the carotid pulse.
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