Thorax and Lungs

Question 1

Symmetry and Shape

Answer 1

inspect and state the shape of the thorax. Place one hand on the upper anterior portion of the partner’s chest and the other hand on the upper posterior portion of the chest and evaluate if there is presence of a barrel chest. Note any asymmetry
“Thorax symmetrical and oval in shape, no barreling noted”

Question 2

Respirations

Answer 2

Inspect and state the respiratory pattern for rate, rhythm, and effort
“Respirations with a rate of 12, rhythmic, non labored”

Question 3

Retractions of Interspaces

Answer 3

Inspect and state if there are retractions between the interspaces on the chest during inspiration and/or expiration
“No retractions noted between interspaces”

Question 4

Use of Accessory Muscles

Answer 4

Inspect and state if during breathing there is lifting of the shoulders or flaring of the nostrils
“No use of accessory muscles when breathing”

Question 5

Pain

Answer 5

Ask partner if they are experiencing any pain with respirations
“Do you not any pain when breathing? No pain noted with breathing”

Question 6

Presence of Cough

Answer 6

Ask partner if there has been a presence of a cough and to describe it
“Have you been experiencing any coughing? No presence of cough noted”

Question 7

Sputum

Answer 7

Ask partner if there has been any sputum production and to describe it
“Have you noticed any sputum production? Denies any sputum production”

Question 8

Breath Sounds

Answer 8

Auscultate and state the findings for presence and quality of breath sounds in each lung field
“Breath sounds present and clear in all lung fields. No adventitious sounds noted”