Podcast
Questions and Answers
What is the recommended ratio for the anteroposterior diameter to the transverse diameter of the chest?
What is the recommended ratio for the anteroposterior diameter to the transverse diameter of the chest?
Which condition is indicated by an increased anteroposterior diameter compared to the transverse diameter of the chest?
Which condition is indicated by an increased anteroposterior diameter compared to the transverse diameter of the chest?
During thoracic cage assessment, what is a sign of an exaggerated spinal curvature in the posterior thorax?
During thoracic cage assessment, what is a sign of an exaggerated spinal curvature in the posterior thorax?
What should be observed when assessing for lateral deviation of the spine (scoliosis) in a standing client from behind?
What should be observed when assessing for lateral deviation of the spine (scoliosis) in a standing client from behind?
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What should the client do to assess for lateral deviation of the spine (scoliosis) during thoracic cage assessment?
What should the client do to assess for lateral deviation of the spine (scoliosis) during thoracic cage assessment?
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What is a normal finding when inspecting the shape and symmetry of the thorax from a lateral view?
What is a normal finding when inspecting the shape and symmetry of the thorax from a lateral view?
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What is the recommended position for assessing the chest and lungs?
What is the recommended position for assessing the chest and lungs?
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Why is good lighting considered essential during chest inspection?
Why is good lighting considered essential during chest inspection?
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In which order does the nurse usually examine the chest?
In which order does the nurse usually examine the chest?
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Why is assessment of the thorax and lungs not delegated to unlicensed assistive personnel?
Why is assessment of the thorax and lungs not delegated to unlicensed assistive personnel?
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What should be done with abnormal findings during thorax and lung assessment?
What should be done with abnormal findings during thorax and lung assessment?
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Why is privacy important during chest examination?
Why is privacy important during chest examination?
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What is the systematic approach in the evaluation of the thorax and lungs?
What is the systematic approach in the evaluation of the thorax and lungs?
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Which part of the thorax is constructed by the sternum, ribs, thoracic vertebrae, muscles, and cartilage?
Which part of the thorax is constructed by the sternum, ribs, thoracic vertebrae, muscles, and cartilage?
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Where is the manubrium located in the chest anatomy?
Where is the manubrium located in the chest anatomy?
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Which structure lies in the center of the chest and is divided into three parts?
Which structure lies in the center of the chest and is divided into three parts?
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What is the function of inspecting the thorax and lungs in a physical examination?
What is the function of inspecting the thorax and lungs in a physical examination?
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Which assessment technique involves tapping on the chest to evaluate sounds produced by underlying structures?
Which assessment technique involves tapping on the chest to evaluate sounds produced by underlying structures?
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Study Notes
Thorax and Lung Assessment
- Thorax and lung assessment is a crucial component of a complete physical examination
- The systematic approach to evaluating the thorax and lungs involves inspection, palpation, percussion, and auscultation of the anterior, lateral, and posterior sides
Anatomy Overview
- The thorax extends from the base of the neck to the level of the diaphragm
- The thoracic cage consists of the sternum, 12 pairs of ribs, 12 thoracic vertebrae, muscles, and cartilage
- The sternum (breastbone) has three parts: the manubrium, the body, and the xiphoid process
Assessment of Thorax and Lungs
- Inspection:
- Assess the shape and symmetry of the thorax from a posterior view
- Compare the anteroposterior diameter to the transverse diameter
- Inspect the spinal alignment for deformities
- Palpation:
- Palpate the posterior thorax
- Normal findings:
- Chest is symmetric
- Anteroposterior diameter is less than the transverse diameter
- Spine is vertically aligned
Delegation and Equipment
- Assessment of the thorax and lungs is not delegated to unlicensed assistive personnel
- Equipment needed: stethoscope, skin marker/pencil, and centimeter ruler
Implementation
- Prepare the client and equipment
- Explain the procedure to the client
- Wash hands and observe infection control procedures
- Provide for client privacy
- Determine the client's medical history
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Description
Learn about the assessment of the anterior and posterior thoracic cage in healthcare settings, including chest landmarks and examination planning. Explore imaginary landmarks and key figures to aid in the assessment process.
