During assessment of the chest in a patient with pneumococcal pneumonia, the nurse would expect to find

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Pneumonias caused by Streptococcus pneumoniae are typically lobar or segmental. The nurse would expect to find increased vocal fremitus over the affected area of the lungs. The area would be dull to percussion. Fine crackles in all lobes would indicate a diffuse infection, which is more typical of viral pneumonias. Asymmetric chest expansion is not typical with pneumonia.

During Assessment of the Chest in a Patient with Pneumococcal