Which does the nurse implement to determine diaphragmatic excursion during a client's thoracic assessment?
1. Observation of respiratory effort
2. Percussion over air-filled regions
3. Auscultation of thorax symmetrically
4. Palpation of chest inspiratory movement
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4. The nurse palpates the client's thoracic movement by placing hands on each side of the spine with thumbs adjacent to one another and instructs the client to breathe deeply. On inspiration, the nurse observes or measures the respiratory excursion, a reflection of the client's inspiratory volume.
1. Observing respiratory effort reveals data on the work of breathing.
2. The nurse percusses over areas of suspected fluid accumulation to determine the size of the fluid from consolidation from pneumonia or a pleural effusion.
3. The nurse symmetrically auscultates the thorax to compare bilateral breath sounds.
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