The nurse is performing a respiratory assessment and notes decreased tactile fremitus over the left lower lung field. What does this finding most likely indicate?

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Vital Signs Assessment Chapter 7 Questions

Question 1 of 5

The nurse is performing a respiratory assessment and notes decreased tactile fremitus over the left lower lung field. What does this finding most likely indicate?

Correct Answer: B

Rationale: Decreased tactile fremitus is commonly associated with pleural effusion due to fluid accumulation.

Question 2 of 5

A patient with longstanding COPD was told by another practitioner that his liver was enlarged and this needed to be assessed. Which of the following would be reasonable to do next?

Correct Answer: B

Rationale: Measuring the liver span is most appropriate as COPD can cause the diaphragm to flatten and push the liver down, giving a false impression of hepatomegaly. The total span measurement helps distinguish true enlargement from displacement.

Question 3 of 5

The nurse is assessing for clubbing of the fingernails and expects to find:

Correct Answer: D

Rationale: The normal nail is firm at its base and has an angle of 160 degrees. In clubbing, the angle straightens to 180 degrees or greater and the nail base feels spongy.

Question 4 of 5

A pregnant woman states, 'I just know labor will be so painful that I won't be able to stand it. I know it sounds awful, but I really dread going into labor.' The nurse responds by stating, 'Oh, don't worry about labor so much. I have been through it, and although it is painful, many good medications are available to decrease the pain.' Which statement is true regarding this response? The nurse's reply was a:

Correct Answer: B

Rationale: By providing false assurance or reassurance, this courage builder relieves the woman's anxiety and gives the nurse the false sense of having provided comfort. However, for the woman, providing false assurance or reassurance actually closes off communication, trivializes her anxiety, and effectively denies any further talk of it.

Question 5 of 5

What is the Adson's test used for?

Correct Answer: A

Rationale: Adson's test is used to detect thoracic outlet syndrome by assessing changes in radial pulse with positional changes.

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The nurse is performing a respiratory assessment and notes decreased tactile fremitus over the left lower lung field. What does this finding most likely indicate?