Thorax and Lungs Assessment: Interior and Posterior Views

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Questions and Answers

What is the recommended posture for chest inspection from the posterior view?

  • Relaxed posture with arms comfortably at the sides or hands in the lap (correct)
  • Standing with arms raised above the head
  • Leaning forward with hands on knees
  • Lying down with arms stretched out

What is the expected ratio of anteroposterior (AP) diameter to transverse diameter of the chest?

  • 1:2 (correct)
  • 1:1
  • Varies based on gender
  • 2:1

What should be noted during inspection of the chest regarding skin color and condition from the posterior view?

  • Pale skin color indicating poor health
  • Color consistent with person’s genetic background, with no cyanosis or pallor (correct)
  • Dark skin color indicating anemia
  • Flushed skin color indicating fever

What facial expression indicates relaxed breathing during interior chest inspection?

<p>Relaxed facial expression (B)</p> Signup and view all the answers

What is considered a normal characteristic of respirations during interior chest inspection?

<p>Normal, relaxed breathing that is automatic and effortless, regular, and even and produces no noise (B)</p> Signup and view all the answers

Match the following equipment with their recommended use:

<p>Stethoscope = Listening to chest sounds Small ruler marked in centimeters = Measuring chest expansion Marking pen = Noting any lesions on the skin Alcohol wipe = Cleaning end-piece of stethoscope</p> Signup and view all the answers

Match the following characteristics with their expected findings during chest inspection from the posterior view:

<p>Shape and Configuration = Symmetric with downward sloping ribs Position = Relaxed posture with arms at the sides or hands in the lap Skin Color and Condition = Consistent with person’s genetic background, no cyanosis or pallor AP-to-transverse diameter ratio = 1:2</p> Signup and view all the answers

Match the following characteristics with their expected findings during interior chest inspection:

<p>Shape and Configuration (Interior) = Ribs sloping downward with symmetric interspaces Facial Expression (Interior) = Relaxed indicating effortless breathing Quality of Respirations (Interior) = Normal, relaxed, automatic, and even Respiratory rate = Within normal limits for the person’s age</p> Signup and view all the answers

Match the following characteristics with their expected findings during chest palpation:

<p>Chest shape and configuration = Sloping downward with symmetric interspaces Tactile fremitus = Should be equal bilaterally and within normal limits Crepitus = Absent Chest expansion = Symmetrical with each inspiration</p> Signup and view all the answers

Match the following terms with their recommended actions during chest assessment:

<p>Tactile fremitus = Assessing for vibrations while speaking Crepitus = Checking for crackling sensations Chest expansion = Observing for symmetry with each inspiration Costal angle measurement = Ensuring it is within 90 degrees</p> Signup and view all the answers

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Study Notes

Chest Inspection from Posterior View

  • Recommended posture for chest inspection from posterior view: Patient stands upright or sits upright with feet shoulder-width apart
  • Normal ratio of anteroposterior (AP) diameter to transverse diameter of the chest: 1:2 or 5:7

Skin Inspection from Posterior View

  • Note skin color and condition, looking for signs of cyanosis, pallor, or jaundice
  • Inspect for any lesions, scars, or other marks on the skin

Respiratory Assessment

  • Relaxed breathing indicated by a neutral facial expression
  • Normal characteristic of respirations: quiet, rhythmic, and symmetric chest expansion

Equipment for Chest Assessment

  • Stethoscope: auscultation of breath sounds and heart sounds
  • Tape measure or caliper: measurement of chest diameter
  • Scale: measurement of patient's weight
  • Penlight or flashlight: examination of skin and oropharynx

Chest Inspection from Posterior View

  • Symmetry of chest movement and expansion
  • Scapular movement and position
  • Spinal curvature and alignment

Interior Chest Inspection

  • Diaphragmatic excursion or chest expansion
  • Symmetry of chest movement
  • Use of accessory muscles for breathing

Chest Palpation

  • Tactile fremitus or vibrations of the chest wall
  • Chest wall tenderness or pain
  • Crepitations or tactile sensations on the chest wall

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