Thorax and Lungs Assessment: 2nd Stage

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What is the recommended position for the person during the thorax and lungs assessment?

The recommended position is for the person to sit upright and males to expose to the waist, while females should leave the gown open at the back.

What is the expected shape and configuration of the thorax during the posterior inspection?

The spinous processes should be in a straight line, the thorax should be symmetric with downward sloping ribs, and the anteroposterior (AP) diameter of the chest should be less than the transverse diameter with a ratio of 1:2.

Describe the expected position of the person during the posterior inspection.

The person should have a relaxed posture with arms comfortably at the sides or hands in the lap.

What should be noted regarding the skin color and condition during the posterior inspection?

The skin color should be consistent with the person’s genetic background, with no cyanosis or pallor. Any lesions should be noted.

What are the expectations for the ribs and facial expression during the interior inspection of the chest?

The ribs should be sloping downward with symmetric interspaces, and the facial expression should be relaxed indicating effortless breathing.

What is the recommended position for assessing the jugular veins and the precordium?

The person should be supine with the head and chest slightly elevated.

How should the carotid arteries be assessed to avoid compromising arterial blood to the brain?

Gently palpate only one carotid artery at a time.

What is the normal strength of the carotid artery pulse?

Normal strength is moderate and equal bilaterally.

What should be avoided when auscultating the carotid arteries to prevent creating an artificial bruit?

Avoid compressing the artery with the stethoscope.

How should the person be positioned for the inspection of the jugular venous pulse?

The person should be supine with the torso elevated anywhere from a 30- to a 45-degree angle.

Test your knowledge of thorax and lungs assessment, focusing on posterior view inspection and equipment requirement. Learn about the necessary tools and steps for assessing the shape and configuration of the chest.

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