NUR 2180 / NUR2180 Module 9 Quiz (Latest 2024 / 2025): Physical Assessment - Rasmussen

• Decreased fremitus can indicate a problem such as pneumothorax oremphysema. • Know how to perform the egophony test and how to determine normal and abnormalfindings with this test • With egophony, the client repeats “e-e-e-e,” which normally will sound like “e-e-e” through the stethoscope. However, if there is a consolidation itremoves the higher frequency sounds so you will hear more of an “a-a-a” sound. Last, with whispered pectoriloquy, the client whispers “1-2-3”. Normally you would hear a muffled, faint sound, more like puffs of air. However, if there is a small consolidation, you will hear the “1-2-3” a little more clearly or, if it large, it will be very clear, as if they are whispering into your stethoscope directly. • Be able to recognize all the different types of sternal abnormalities • Pectus excavatum or funnel chest (chest goes in) and pectus carninatum orpigeon chest, when the sternum protrudes outward like a bird’s chest (chestv pushed outward). • Understand normal and abnormalities regarding costal angle • Normal costal angle. Less than 90 degrees. Abnormal costal angle.Greater than 90 degrees • Know how to assess for vocal fremitus • Also, the nurse can palpate for vocal (or tactile) fremitus which is vibration that is felt when the client says something like “ninety-nine”. • What are expected findings when testing for bronchophony Normally if the client says ninety-nine repeatedly it will sound soft,