#ANTERIOR LUNG SOUNDS SKIN#

Evaluate the respiratory rate and pulse oximetry readings to verify the patient is stable before proceeding with the physical exam. The vital signs may be taken by the nurse or delegated to unlicensed assistive personnel such as a nursing assistant or medical assistant. The nurse must have an understanding of what is expected for the patient’s age, gender, development, race, culture, environmental factors, and current health condition to determine the meaning of the data that is being collected. For more information regarding interpreting vital signs, see the “ General Survey” chapter.

#ANTERIOR LUNG SOUNDS SKIN#

Can you describe your energy level? Is there any change from previous?Ī focused respiratory objective assessment includes interpretation of vital signs inspection of the patient’s breathing pattern, skin color, and respiratory status palpation to identify abnormalities and auscultation of lung sounds using a stethoscope.Do you get short of breath with activities that you did not before?.Have you noticed a change in your breathing?.Did your child have any history of frequent ear infections as an infant?.Does your child have any hospitalization history related to respiratory illness?.How is your child’s appetite? Is there any decrease or change recently in appetite or wet diapers?.Is your child experiencing any cold symptoms (such as runny nose, cough, or nasal congestion)?.

Is your child up-to-date with recommended immunizations?.

ĭepending on the age and capability of the child, subjective data may also need to be retrieved from a parent and/or legal guardian. If the patient is ready to quit, the five successful interventions are the “5 A’s”: Ask, Advise, Assess, Assist, and Arrange.Īsk – Identify and document smoking status for every patient at every visit.Īdvise – In a clear, strong, and personalized manner, urge every user to quit.Īssess – Is the user willing to make a quitting attempt at this time?Īssist – For the patient willing to make a quitting attempt, use counseling and pharmacotherapy to help them quit.Īrrange – Schedule follow-up contact, in person or by telephone, preferably within the first week after the quit date.

Have you ever tried to quit smoking/vaping? What strategies gave you the best success?Īre you interested in quitting smoking/vaping? What products do you smoke/vape? If cigarettes are smoked, how many packs a day do you smoke? What have you used to treat the cough? Has it been effective? When you cough, do you bring up anything? What color is the phlegm?ĭo you have any associated symptoms with the cough such as fever, chills, or night sweats?ĭoes anything bring on the cough (such as activity, dust, animals, or change in position)? How does the shortness of breath affect your daily activities? Is the shortness of breath related to a position, like lying down? Do you sleep in a recliner or upright in bed?ĭo you wake up at night feeling short of breath? How many pillows do you sleep on? What makes the shortness of breath go away? How long does the shortness of breath last? Is the shortness of breath associated with chest pain or discomfort? Note: If the shortness of breath is severe or associated with chest pain, discontinue the interview and obtain emergency assistance.Īre you having any shortness of breath now? If yes, please rate the shortness of breath from 0-10 with “0” being none and “10” being severe?ĭoes anything bring on the shortness of breath (such as activity, animals, food, or dust)? If activity causes the shortness of breath, how much exertion is required to bring on the shortness of breath?

Have you had any feelings of breathlessness ( dyspnea)? Please identify what you are taking and the purpose of each.

Please describe the conditions and treatments.Īre you currently taking any medications, herbs, or supplements for respiratory concerns? Have you ever been diagnosed with a respiratory condition, such as asthma, COPD, pneumonia, or allergies?ĭo you use home respiratory equipment like CPAP, BiPAP, or nebulizer devices?

Anterior lung sounds