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Chest palpation may be performed to assess specifically for growths, masses, crepitus, pain, or tenderness. Confirm symmetric chest expansion by placing your hands on the anterior or posterior chest at the same level, with thumbs over the sternum anteriorly or the spine posteriorly.
During breathing, assessment of changing chest shape can be more helpful. The presence of intercostal retraction, pursued-lip breathing, and use of accessory muscles suggest airways obstruction.
This article will explain how to assess the chest (heart and lungs) as a nurse. This assessment is part of the nursing head-to-toe assessment you have to perform in nursing school and on the job.
Chest palpation may be performed to assess specifically for growths, masses, crepitus, pain, or tenderness. Confirm symmetric chest expansion by placing your hands on the anterior or posterior chest at the same level, with thumbs over the sternum anteriorly or the spine posteriorly.
30 wrz 2010 · Assess the posterior chest including inspection, chest expansion, percussion, tactile vocal fremitus (or vocal resonance) and auscultation. Allocate adequate time to assessing the posterior aspect of the chest as this is where you are most likely to identify clinical signs.
Uncover his chest and inspect the shape and configuration. Normally, the thorax is symmetrical and the anterior-posterior diameter is less than the transverse diameter. (Equal diameters may signal chronic obstructive pulmonary disease in an adult.)
The systematic examination of the chest starts with observation or inspection, looking for asymmetry, scars, chest shape and a regular breathing pattern.
