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How To Perform A Respiratory Assessment | Nursing Physical Exam

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THIS VIDEO will guide you through the essential aspects of thoracic assessment, a crucial skill for nursing students striving to excel in their nursing journey. Focused on examining the chest area, encompassing both the lungs and the heart, this tutorial provides an insightful exploration of thoracic anatomy and assessment techniques.

 The journey begins by highlighting the significance of thoracic assessment, emphasizing the need for auscultation – the act of listening to lung sounds. Here, nursing students will discover the importance of observing the patient’s breathing patterns, diaphragm movements, and assessing for labored or rapid breathing. The video also emphasizes the evaluation of heart health by examining pulse and heart tones.

 Anatomical landmarks play a pivotal role in thoracic assessment. The video introduces viewers to crucial points like the midsternal and midclavicular lines, essential for accurate lung and heart auscultation. It underscores the importance of understanding these landmarks’ locations, as they are consistent across all individuals. 

 Moving forward, the tutorial delves into palpation methods, an invaluable assessment technique. It demonstrates how to feel the chest and ribs for asymmetry and retractions, warning signs of abnormalities like trauma or respiratory distress. This section is particularly beneficial for nursing students who aspire to master clinical skills and become exceptional healthcare professionals.

 Auscultation of the lungs is then discussed in depth. The video guides nursing students on how to differentiate between normal and adventitious (abnormal) lung sounds, such as crackles, rhonchi, wheezes, and pleural rubs. These details are crucial for nursing students aiming to achieve high scores in exams like the NCLEX and to provide top-notch patient care.

 The video wraps up with practical tips on auscultation, reminding students of the importance of comparing sounds from different lung areas – upper, lower, anterior, and posterior. This approach is essential for detecting conditions like pneumonia, where abnormal sounds often emerge from the lung bases.

 THE PROF Samantha Rhea MSN, RN has been a nurse since 2008 and a nursing faculty teacher since 2012. She has been recognized for clinical excellence as an interventional cardiology nurse and also led a Joint Commission Accredited Stroke Center. Ms. Rhea is an award-winning expert in clinical teaching and continues to maintain a current clinical practice while teaching at a University nursing program.

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