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    HESI RN Health Assessment Proctored Exam

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

    Explanation & Rationale

    Choice A rationale 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 tactile fremitus can indicate consolidation, as seen in pneumonia. Choice B rationale Observing the size and shape of the chest wall does not assess tactile fremitus. Choice C rationale Using a stethoscope to listen to and compare breath sounds is not the method for assessing tactile fremitus. Choice D rationale Using the fingertips to compress tissue over the lungs for evidence of a crackling sensation is not the correct method for assessing tactile fremitus.

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