![]() As you move down the thorax, place your stethoscope close to the vertebral line so that you avoid listening over the scapula. On the posterior thorax, begin at the shoulders at the scapular line, moving from one side to the other side, then move down, and repeat.Note that the posterior thorax is primarily lower lobes. ![]() For example, less locations are needed on a client with a smaller thorax (e.g., infants). The number of locations depends on the size of the thorax. See Figure 3.11 for the placement pattern. ![]() Step 3:Place the stethoscope’s diaphragm on the chest in about four to eight locations on each side of the posterior thorax and then at three locations on the right lateral thorax and at two locations on the left lateral thorax so that you listen to all lung lobes. Also be aware that older adults may have difficulty taking a big breath. You should notify them that they can take a break and breathe normally if they need to.
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