Respiratory Assessment Case Study

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1.
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Oxygen saturation.
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2.
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Use of accessory muscles.
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3.
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Note the amount and appearance of any sputum.
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4.
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“What activities cause you to feel short of breath?”
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5.
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Advise the client to rest…
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6.
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Barrel chest.
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7.
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-Color of palms and soles. -Shape of the fingers and fingertips.
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8.
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Second rib.
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9.
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Ask the client to inhale deeply.
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10.
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Document the normal finding on the assessment record.
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11.
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Increased fremitus over areas of consolidation.
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12.
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Ask the client to repeat a phrase aloud.
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13.
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Locate the client’s first intercostal space.
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14.
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Compare this finding with the location of the client’s pneumonia seen on x-ray.
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15.
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Move the diaphragm across to the apex of the right lung posteriorly.
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16.
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Auscultate the lower lung fields to determine the presence of any adventitious sounds.
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17.
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Document the presence of wheezes in the upper lobes and complete the assessment.
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18.
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Chart what was heard both anteriorly and posteriorly.
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19.
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Calculate the client’s BMI.
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20.
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60.
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21.
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Note the texture of the client’s hair.
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22.
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Auscultate breath sounds bilaterally.
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23.
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Respiratory effort.
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24.
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Crackles heard bilaterally in the middle and lower lung fields posteriorly.
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25.
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Compare the current assessment…

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