A nurse in a provider's office is preparing to auscultate a client's thorax as part of a comprehensive physical examination. Which of the following findings should the nurse expect? (Select all that apply)

During a comprehensive thoracic auscultation of a healthy client, the nurse expects to hear normal breath sounds. Vesicular sounds are the predominant breath sounds heard over most of the lung fields — they have a soft, low-pitched quality with a longer inspiratory phase and are entirely normal. Bronchovesicular sounds are also expected normal findings, heard over the major airways near the sternum and between the scapulae; they have equal inspiratory and expiratory phases and a moderate pitch. These two findings represent what a nurse should anticipate in a well patient. Rhonchi are adventitious (abnormal) sounds caused by secretions in larger airways, indicating pathology such as bronchitis or pneumonia; they are not expected in a comprehensive exam of a healthy person. Crackles are also adventitious sounds associated with fluid in the small airways or alveoli, as seen in heart failure or pneumonia, and are likewise not normal expected findings. Tactile fremitus is a technique involving palpation, not auscultation — the nurse places hands on the chest wall while the client speaks to feel vibration transmission; it is not an auscultatory finding. Therefore, only vesicular sounds and bronchovesicular sounds are correctly identified as expected auscultatory findings during a normal thoracic assessment.