In assessing tactile fremitus in the client with suspected pneumonia, the nurse should perform which action?
Explanation & Rationale
A. Use the fingertips to compress tissue over the lungs for evidence of a crackling sensation. This action is more appropriate for assessing crepitus, which is different from tactile fremitus. B. Use a stethoscope to listen to and compare breath sounds anteriorly and posteriorly. While important in the assessment of pneumonia, this action assesses breath sounds, not tactile fremitus. C. Place the palm of the hand on the chest wall to feel vibrations while the client speaks. This is the correct method for assessing tactile fremitus. Vibrations felt through the chest wall indicate changes in lung density, often found in conditions like pneumonia. D. Looking at the client from the side, observe the size and shape of the chest wall. This action assesses the overall structure and symmetry of the chest but does not assess tactile fremitus.