Thorax and Lungs
Thorax and Lungs
Thorax and Lungs
PROCEDURE
Assemble equipment:
Stethoscope
Skin marker/pencil
Centimeter ruler
1. Introduce yourself, and verify the client’s identity. Explain to the client what you are going to do, why it
is necessary, and how the client can coo
2. Perform hand hygiene, apply gloves, and observe other appropriate infection control procedures.
3. Provide for client privacy.
4. Inquire if the client has any history of the following:
Family history of illness, including cancer
Allergies
Tuberculosis
Lifestyle habits such as smoking, and occupational hazards
Any medications being taken
Current problems such as swelling, cough, wheezing, pain
Posterior Thorax
5. Inspect the shape and symmetry of the thorax from posterior and lateral views. Compare the
anteroposterior diameter to the transverse diameter.
6. Inspect the spinal alignment for deformities.
Have the client stand. From a lateral position, observe the three normal curvature: cervical, thoracic,
and lumbar.
To assess for lateral deviation of the spine (scoliosis), observe the standing client from the near. Have
the client bend forward at the waist, and observe from behind.
7. Palpate the posterior thorax.
For clients who have no respiratory complaints, rapidly assess the temperature and integrity of all
chest skin.
For clients who do have respiratory complaints, palpate the chest areas for bulges, tenderness, or
abnormal movements. Avoid deep palpation for painful areas, especially if a fractured rib is
suspected.