3) ANTERIOR CHEST

Question 1

ANTERIOR CHEST

Answer 1

5 STEPS

Question 2

1

Answer 2

Assess skin - does color reflect adequate oxygenation - color, temp, moisture

Question 3

2

Answer 3

Assess Skin Turgor - pinched skin over sternum moves easily and resturns to position immediately upon release (good)

Question 4

3

Answer 4

Assess CVC site for pain, redness, swelling, and intactness of dressing.

Question 5

4

Answer 5

Ausculatate Lung sounds - anterior and lateral - note adventitious sounds *state what is heard e.g. clear

Question 6

5

Answer 6

Auscultate Heart Sounds - NOTE: Assess Aortic valve, Pulmonic valve, Tricuspid valve, and Mitral Valve. What is rate, and rhythm, are there extra sounds? NOTE: count for one minute. *count where its the loudest for 1 minute.