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</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</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

    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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    Description

    Test your knowledge of thorax and lungs assessment procedures, including inspection and equipment required. Learn about the proper steps for inspection of the chest and configuration from both interior and posterior views.

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