During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin surface. On the basis of these findings, the nurse suspects:

Tactile fremitus

Crepitus.

Adventitious sounds.

Friction rub

Answer and Explanation

The Correct Answer is B

A.   This is a vibration felt on the chest wall when a patient speaks, often used to assess lung sounds. It is not associated with the crackling sensation described here.
B.   The coarse, crackling sensation felt on the skin surface when palpating is crepitus, which occurs when air escapes into the subcutaneous tissue, often due to trauma, infection, or the presence of a pneumothorax.
C.   These are abnormal lung sounds, such as crackles, wheezes, or rhonchi, heard with a stethoscope during auscultation, not felt on the chest wall during palpation.
D.   A friction rub is a grating or scraping sound heard with a stethoscope, typically due to inflammation of the pleural surfaces. It is not a sensation felt on the chest wall.

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Correct Answer is B

Explanation

A. Tympany is a high-pitched sound typically heard over a hollow organ such as the stomach.
B. Hyperresonance is often heard in patients with COPD, as the lungs are hyperinflated, leading to an increased resonance when percussed.
C. Resonance is normal and would be heard in healthy, air-filled lungs.
D. Dullness would suggest a solid or fluid-filled area, which is not typical of COPD unless there is a complication like pleural effusion.

A. Severe obesity B. Severe dehydration C. Connective tissue disorders such as scleroderma D. Childhood growth spurts

Correct Answer is B

Explanation

A. Severe obesity may not affect skin turgor but may cause other skin-related issues like stretching.
B. Severe dehydration is the most likely cause of decreased skin turgor, as dehydration reduces the amount of interstitial fluid, causing the skin to lose elasticity.
C. Connective tissue disorders such as scleroderma may affect skin appearance, but they typically cause hardening rather than decreased turgor.
D. Childhood growth spurts generally do not affect skin turgor unless other conditions are present, such as dehydration or malnutrition.

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During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin surface. On the basis of these findings, the nurse suspects:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse percusses a client with COPD and expects to hear:

Correct Answer is B

Explanation

The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

Correct Answer is B

Explanation

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