The nurse is assessing a client for decreased fremitus. Which of ...

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The nurse is assessing a client for decreased fremitus. Which of the following conditions are associated with decreased fremitus? (Select all that apply.)
 
  1. Atelectasis
  2. Emphysema
  3. Pneumonia
  4. Pneumothorax
  5. Pulmonary fibrosis
  6. Pulmonary infarction

Question 2

A client is complaining of chest pain that occurs during exercise. This pain is relieved when the client rests. The nurse realizes that this client is experiencing which type of angina?
 
  1. Prinzmetal's variant angina
  2. Silent angina
  3. Stable angina
  4. Unstable angina

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Answer to Question 1

1, 3, 5, 6
Atelectasis, pneumonia, pulmonary fibrosis, and pulmonary infarction cause decreased fremitus. Pneumothorax and emphysema would cause increased fremitus.

Answer to Question 2

3
Stable angina is precipitated by factors that increase oxygen demand or reduce oxygen supply. Chest pain occurs predictably with the same onset, duration, and intensity and is relieved when the precipitating factor is removed or with nitroglycerin. Unstable angina is typified by an increase in frequency, duration, and intensity of symptoms at lower levels of activity and even at rest. Prinzmetal's variant angina is a coronary artery spasm. Silent angina can occur with no pain at all and is common in diabetic patients.