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:
a. "Is caused by moisture in the alveoli."
b. "Indicates that air is present in the subcutaneous tissues."
c. "Is caused by sounds generated from the larynx."
d. "Reflects the blood flow through the pulmonary arteries."
ANS: C
Fremitus is a palpable vibration. Sounds generated from the larynx are transmitted through patent bronchi and the lung parenchyma to the chest wall where they are felt as vibrations. Crepitus is the term for air in the subcutaneous tissues.
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Answer the following statement true (T) or false (F)
A nurse working in an ambulatory care center is caring for a patient who requires dressing changes every other day. The family caregiver indicates that the patient does not value adhering to a time schedule. What is the most appropriate action?
A. Continue to schedule the appointments. B. Ask the patient to call the ambulatory care center to cancel appointments. C. Call every other day to remind the patient of the scheduled appoint. D. Explain to the patient and family members the importance of wound dressing changes and explore anticipated barriers to time adherence.