When inspecting the anterior chest of an adult, the nurse should include which assessment?
a. Diaphragmatic excursion
b. Symmetric chest expansion
c. Presence of breath sounds
d. Shape and configuration of the chest wall
ANS: D
Inspection of the anterior chest includes shape and configuration of the chest wall; assessment of the patient's level of consciousness and the patient's skin color and condition; quality of respirations; presence or absence of retraction and bulging of the intercostal spaces; and use of accessory muscles. Symmetric chest expansion is assessed by palpation. Diaphragmatic excursion is assessed by percussion of the posterior chest. Breath sounds are assessed by auscultation.
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Fill in the blank(s) with correct word