Physical assessment evaluation tool - Nursing Crib
Physical assessment evaluation tool - Nursing Crib
Physical assessment evaluation tool - Nursing Crib
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areas of<br />
enlargement,<br />
masses, or nodules<br />
of enlargement, or<br />
nodules<br />
POSTERIOR THORAX<br />
74. Size, shape, Symmetric, ribs<br />
symmetry, are sloped<br />
compare the downward at 45º<br />
diameter of the relative to the<br />
anteroposterior spine, muscle<br />
thorax to the development is<br />
transverse thorax equal,<br />
anteroposterior to<br />
transverse<br />
diameter in ratio of<br />
1:2<br />
75. Spinal<br />
alignment<br />
76. Temperature,<br />
tenderness, masses<br />
77. Respiratory<br />
excursion<br />
of enlargement, or<br />
nodules<br />
THORAX<br />
Symmetric, ribs<br />
are sloped<br />
downward at 45º<br />
relative to the<br />
spine, muscle<br />
development is<br />
equal,<br />
anteroposterior to<br />
transverse<br />
diameter in ratio of<br />
1:2<br />
NORMAL<br />
Slightly Vertically aligned NOT NORMAL because<br />
the client has scoliosis.<br />
Uniform in Uniform in NORMAL<br />
temperature, no temperature, no<br />
tenderness and tenderness and<br />
masses<br />
masses<br />
Full and<br />
symmetric chest<br />
expansion<br />
78. Vocal fremitus Bilaterally equal,<br />
heard mostly at the<br />
apex of the lungs<br />
79. Sounds Percussion notes<br />
resonant except<br />
over the scapula,<br />
bronchovesicular<br />
and vesicular<br />
ANTERIOR THORAX<br />
80. Breathing Quiet, rhythmic,<br />
patterns<br />
effortless<br />
81. Temperature, Warm, no<br />
tenderness, masses tenderness or<br />
82. Respiratory<br />
excursion<br />
masses<br />
Full and<br />
symmetric chest<br />
expansion<br />
83. Vocal fremitus Bilaterally equal,<br />
mostly heard at the<br />
apex of the lungs<br />
84. Sounds Flat sound on the<br />
part with heavy<br />
Full and<br />
symmetric chest<br />
expansion<br />
Bilaterally equal,<br />
heard mostly at the<br />
apex of the lungs<br />
Percussion notes<br />
resonant except<br />
over the scapula,<br />
bronchovesicular<br />
and vesicular<br />
Quiet, rhythmic,<br />
effortless<br />
Warm, no<br />
tenderness or<br />
masses<br />
Full and<br />
symmetric chest<br />
expansion<br />
Bilaterally equal,<br />
mostly heard at the<br />
apex of the lungs<br />
Flat sound on the<br />
part with heavy<br />
NORMAL<br />
NORMAL<br />
NORMAL<br />
NORMAL<br />
NORMAL<br />
NORMAL<br />
NORMAL<br />
NORMAL
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