The nursing assessment reveals reduced fremitus. This manifestation is consistent with which conditions? Select all that apply
A) Right-sided heart failure
B) Left-sided heart failure
C) Pneumonia
D) Pulmonary edema
E) Bronchial obstruction
Ans: B, C, D, E
Feedback:
Fremitus refers to the vibration of air movement through the chest wall. It is best felt by placing the balls of the palms of your hand on the client'sback as the client says "99." The intrascapular space is a good area to feel tactile fremitus because it diminishes as you move out in the lung fields.Decreased fremitus may occur with pleural effusion, pulmonary edema, emphysema, or bronchial obstruction. Left-sided heart failure will result in pulmonary edema, causing decreased fremitus.
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