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    HESI Health Assessment WGU d344 Proctored Exam

    In assessing tactile fremitus in the client with suspected pneumonia, the nurse should perform which action?

    Explanation & Rationale

    A. Using the fingertips to compress tissue over the lungs for a crackling sensation is not an appropriate method for assessing tactile fremitus. This approach is more related to detecting crepitus or subcutaneous emphysema. B. Using a stethoscope to listen to and compare breath sounds is useful for assessing lung function and detecting abnormalities like wheezes or crackles but does not assess tactile fremitus. C. Observing the size and shape of the chest wall provides information about overall lung expansion and structural abnormalities but does not assess tactile fremitus, which involves feeling vibrations. D. Placing the palm of the hand on the chest wall to feel vibrations while the client speaks is the correct method to assess tactile fremitus. Increased fremitus may indicate pneumonia or other lung abnormalities, as the vibrations are transmitted more effectively through consolidated lung tissue.

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