NUR 600 Assignment 5.2: Assessment of the Thorax and Lungs

Sample Answer for NUR 600 Assignment 5.2: Assessment of the Thorax and Lungs

The client is seated up and relaxed and is breathing at ease with arms on the laps and has audible breath sounds bilaterally. Symmetric thorax, scapulars are symmetric and non protruding, spinal processes appear straight. The antero- posterior: transverse diameter is 1: 2. No retraction of intercostal spaces during inspiration. Smooth respirations with uniform chest rise and fall and no use of accessory muscles. Respiration rate- 16 breaths/min. Respirations are regular and even in rhythm and are non-exaggerated and effortless. Normal fremitus heard over all lung fields. The trachea is midline in the suprasternal notch. Resonance heard on percussion of the lungs. Vesicular breath sounds heard on chest auscultation with no adventitious breath sounds. Pulse oximetry- 98%.

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Assessment of the Cardiovascular System 

The external chest has normal appearance without thrills, lifts or heaves. The chest wall rises symmetrically with respirations. There is no jugular venous distention or chest scars. The client does not have a pigeon chest or sunken sternum. The point of maximum impulse is at 5th intercostal space in the left midclavicular line. The pulses are adequate in peripheries and centrally. On auscultation, there is no thrill or adventitious heart sounds. There is no palpitation or murmurs.