A seven-year-old presents to the clinic with an exacerbation of asthma symptoms. On physical exam, the nurse would expect which of the following findings? Standard Text: Select all that apply
1. Increased tactile fremitus
2. Decreased vocal resonance
3. Bronchophony
4. Decreased tactile fremitus
5. Wheezing
2,4,5
Rationale 1: An increase in tactile fremitus is indicative of pneumonia.
Rationale 2: Asthma causes a decreased vocal resonance, as edema makes it more difficult for the sound to project.
Rationale 3: Bronchophony is an increase in the intensity and clarity of transmitted sounds that also is indicative of pneumonia.
Rationale 4: The air trapping in the lungs that occurs with asthma causes a decrease in the sensation of vibrations or a decreased tactile fremitus.
Rationale 5: Wheezing is caused by air passing through mucus or fluids in a narrowed lower airway, and it is a condition frequently present in asthma exacerbations.
Global Rationale:
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