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    Thorax and Lungs Assessment Checklist

    Uploaded by

    Arjay Ordiz
    The document outlines the procedure for assessing the thorax and lungs of a patient. It details the necessary equipment, preparation steps, assessment procedures for the posterior and anterior thorax, and steps for analyzing the assessment data.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Thorax and Lungs Assessment Checklist

    Uploaded by

    Arjay Ordiz
    3 views3 pages
    The document outlines the procedure for assessing the thorax and lungs of a patient. It details the necessary equipment, preparation steps, assessment procedures for the posterior and anterior thorax, and steps for analyzing the assessment data.

    Original Description:

    Health Assessment procedure

    Original Title

    THORAX-AND-LUNGS-ASSESSMENT-CHECKLIST

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    © © All Rights Reserved

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    The document outlines the procedure for assessing the thorax and lungs of a patient. It details the necessary equipment, preparation steps, assessment procedures for the posterior and anterior thorax, and steps for analyzing the assessment data.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3 views3 pages

    Thorax and Lungs Assessment Checklist

    Uploaded by

    Arjay Ordiz
    The document outlines the procedure for assessing the thorax and lungs of a patient. It details the necessary equipment, preparation steps, assessment procedures for the posterior and anterior thorax, and steps for analyzing the assessment data.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Republic of the Philippines

    CAMARINES SUR POLYTECHNIC COLLEGES


    Nabua, Camarines Sur

    COLLEGE OF HEALTH SCIENCES


    _____________________________________________________________
    BACHELOR OF SCIENCE IN NURSING
    NCM 101 – HEALTH ASSESSMENT
    2nd Semester, A/Y 2023 - 2024

    Name of Student: ______________________________ Date: ________________


    Year & Section: _______________________________ Grade: _______________

    PROCEDURE CHECKLIST:
    ASSESSMENT OF THE THORAX AND LUNGS
    GATHER EQUIPMENT:

    1. Gown and drape


    2. Gloves
    3. Stethoscope
    4. Exam Light
    5. Mask
    6. Skin Marker
    7. Metric Ruler

    NOT
    A. PREPARATION DONE REMARKS
    DONE
    1. Review patient’s medical record.
    2. Prepare the setting.
    NOT
    B. PROCEDURES DONE REMARKS
    DONE
    1. Introduce yourself to the patient.
    2. Verify the client’s identity.
    3. Explain the procedure, purpose, and emphasize
    confidentiality of information.
    4. Ask the client to put on a gown.
    NOT
    C. POSTERIOR THORAX ASSESSMENT DONE REMARKS
    DONE
    1. Inspect for shape and configuration of the chest wall
    and position of scapulae.
    2. Inspect for use of accessory muscles.
    3. Inspect the client’s positioning noting posture and
    ability to support weight while breathing.
    4. Palpate for tenderness and sensation with gloved
    fingers.
    5. Palpate for surface characteristics such as lesions or
    masses with gloved fingers.
    6. Palpate for fremitus, using the ball or ulnar edge of
    one hand while the client says, “ninety-nine.” Assess
    for symmetry and intensity of vibration.
    7. Palpate for chest expansion. Place hands on the
    posterior chest wall with your thumbs at the level of T9
    of T10, and observe the movement of your thumbs as
    the client takes a deep breath.
    8. Percuss for tone, starting at the apices above the
    scapulae and across the tops of both shoulders.
    9. Percuss intercostal spaces across and down,
    comparing sides.
    10 Percuss to the lateral aspects at the bases of the
    . lungs, and compare sides.
    11 Percuss for diaphragmatic excursion.
    .
    12 Auscultate for breath sounds (normal: bronchial,
    . bronchovesicular, and vesicular), noting location.
    13 Auscultate for adventitious sounds (crackles, fine or
    . coarse, pleural friction rub, wheeze, sibilant, or
    sonorous).
    14 Auscultate for voice sounds over the chest wall:
    . a. Bronchophony – ask the client to repeat the phrase
    “ninety-nine”
    b. Egophony – ask the client to repeat the letter “E”
    c. Whispered pectoriloquy – ask the client to whisper
    the phrase “one-two-three.”
    NOT
    D. ANTERIOR THORAX ASSESSMENT DONE REMARKS
    DONE
    1. Inspect for shape and configuration to determine the
    ratio of anterioposterior diameter to transverse
    diameter (normally 1:2).
    2. Inspect for position of sternum from anterior and lateral
    viewpoints.
    3. Inspect for slope of the ribs from anterior and lateral
    viewpoints.
    4. Inspect for quality and pattern of respiration, noting
    breathing characteristics, rate, rhythm, and depth.
    5. Inspect intercostal space while client breathes
    normally.
    6. Inspect for use of accessory muscles.
    7. Palpate for tenderness and sensation using fingers.
    8. Palpate surface characteristics such as lesions or
    masses, using fingers of gloved hand.
    9. Palpate for fremitus while the client says “ninety-nine.”
    10 Palpate for chest expansion by placing hands on
    . anterolateral wall with the thumbs along the costal
    margins and pointing toward the xiphoid process.
    Observe the movement of the thumbs as the client
    takes a deep breath.
    11 Percuss for tone above the clavicles and then the
    . intercostal spaces across and down, comparing sides.
    12 Auscultate for breath sounds, adventitious sounds,
    . and voice sounds.
    NOT
    E. ANALYSIS OF DATA DONE REMARKS
    DONE
    1. Formulate nursing diagnoses (wellness, risk,
    actual)
    2. Formulate collaborative problems.
    3. Make necessary referrals.

    Name of Clinical Instructor/Facilitator

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