What three sources of information guide a respiratory assessment?
Combine what you see, hear, and learn from vital signs; interpret findings together rather than relying on one measurement or sound.
Study 1 Respiratory Assessment with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
What three sources of information guide a respiratory assessment?
Combine what you see, hear, and learn from vital signs; interpret findings together rather than relying on one measurement or sound.
What is a common resting respiratory-rate range for adults?
A common reference range is 12–20 breaths per minute for an adult at rest.
Which chest movement is a reassuring inspection finding?
Symmetrical chest movement without visible effort is reassuring.
What do rapid breathing, accessory-muscle use, and frequent pauses in speech suggest?
Rapid breathing, accessory-muscle use, and difficulty speaking comfortably are concerning signs; assess promptly and escalate as needed.
What assessment feature is indicated by unequal rise of the chest sides?
Unequal rise of the two sides of the chest is asymmetrical chest expansion.
What are intercostal retractions?
Retractions are inward movements between the ribs during inspiration.
What is a wheeze?
A wheeze is a high-pitched, musical adventitious breath sound.
What details should you document about an adventitious breath sound?
Document where it is heard, whether it occurs during inspiration or expiration, and whether sounds are diminished or absent in any area.
Can one breath sound by itself establish its cause?
A breath sound alone does not identify its cause; interpret it with the rest of the assessment.
What should you do when respiratory rate and pulse rise from earlier readings?
Compare with baseline, reassess respiratory status and other vital signs, and promptly report or escalate the change.
What belongs in a focused respiratory assessment?
Assess respiratory rate and pattern, work of breathing, chest symmetry and expansion, breath sounds and their location, and relevant vital signs such as pulse and oxygen saturation.
Which combination of new findings calls for the most immediate reassessment?
New altered alertness, labored breathing, and markedly reduced breath sounds on one side warrant prompt reassessment and urgent help according to the patient's condition and local protocol.
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