When performing an assessment of the patient's respiratory system, the nurse uses the following illustrated technique to evaluate

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When assessing chest expansion on the posterior chest, the nurse will place the hands at the level of the 10th rib, position the thumbs until they meet over the spine, and have the patient breathe deeply.  Tactile fremitus is assessed by having the patient repeat a word or phrase such as "ninety-nine" while the nurse uses the palms of the hands to assess for vibration. Accessory muscle use and anterior-posterior diameter are assessed during inspection of the chest and do not require palpation.

When Performing an Assessment of the Patient's Respiratory System, the Nurse