NCLEX RN Practice Question # 858

NCLEX Examination.

Practice Question # 858.


nclex examination


Checking for tactile fremitus

When you check the back of the thorax for tactile fremitus, ask the patient to fold his arms across his chest. This movement shifts the scapulae out of the way.

What to do

Check for tactile fremitus by lightly placing your open palms on both sides of the patient’s back, as shown, without touching his back with your fingers. Ask the patient to repeat the phrase “ninety-nine” loudly enough to produce palpable vibrations. Then palpate the front of the chest using the same hand positions.

What the results mean

Vibrations that feel more intense on one side than the other indicate tissue consolidation on that side. Less intense vibrations may indicate emphysema, pneumothorax, or pleural effusion. Faint or no vibrations in the upper posterior thorax may indicate bronchial obstruction or a fluid-filled space.

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