MARYVILLE UNIVERSITY ADVANCED NURS 612 EXAM 2

inspect the chest - EXPLANATION - without clothes on; 1st assess shape and size; 2nd check for symmetry; 3rd thoracic landmarks; 4th color of skin; 5th check for supernumerary nipples; 6th superficial venous patterns; and 7th observe for rib prominence thoracic landmarks - EXPLANATION - midline trachea, costal angle, angle of ribs, intercostal spaces, suprasternal notch symmetry of chest - EXPLANATION - thoracic expansion at costal angle, w/o use of accessory muscles hx questions for cc of resp issue - EXPLANATION - What is the nature of your cough?; Do you produce any sputum?; Is your cough related to activity?; What position are you most comfortable in?; How many pillows do you sleep with at night?; Is your SOB related to activity? normal respirations - EXPLANATION - rate between 12 to 20/min; ratio of resp to heart beats= 1:4; pt should breathe easily, regularly w/o apparent distress; pattern should be even, not too shallow or too deep