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Home » Notes » Diagnostic Tests » Chest X-ray (Chest Radiography)

Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.

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Chest X-ray (Chest radiography, CXR) is one of the most frequently performed radiological examinations. A chest x-ray is a painless, non-invasive test that uses electromagnetic waves to produce visual images of the heart, lungs, bones , and blood vessels of the chest. Air spaces normally seen in the lungs appear dark on the chest films. A basic chest x-ray includes a posteroanterior (PA) view, in which x-rays pass from the back to the front of the body and a left lateral view. Other projections such as lateral decubitus, lordotic views, or oblique views can also be requested. For critically ill patients who cannot leave the nursing unit, a portable x-ray machine is performed at the bedside using anteroposterior (AP) projections with an addition of a lateral decubitus view if a free flow fluid or air is suspected.
Chest images should be examined in full inspiration and erect if feasible to reduce cardiac magnification and demonstrate fluid levels. Expiration images may be needed to identify a pneumothorax or locate foreign materials. Rib detail images may be taken to delineate bone pathology, helpful when chest radiographs illustrate metastatic lesions or fractures. In the onset of the disease process of asthma , tuberculosis, and chronic obstructive pulmonary disease , chest x-ray results may not correlate with the patient’s clinical status and may even be normal.
Nurses are responsible for ensuring the patient’s comfort while at the x-ray room since some may experience pain from injury or symptoms from a disease condition, as well as the apprehension about what the result may show. In addition, producing a good quality image relies on the ability of the patient to cooperate, such as holding breath for a while. Providing a calm and relaxed environment for the patient is indeed vital.
This diagnostic and laboratory procedure study guide can help nurses understand their tasks and responsibilities during a chest x-ray.
Here are some of the reasons why a Chest x-ray is performed:
These are factors or conditions that may alter the outcome of Chest X-ray:
The procedure for chest x-rays is as follows:
The following are the nursing interventions and nursing care considerations for the patient
The following are the nursing interventions before chest x-ray:
The nurse should note the following nursing interventions after chest x-ray:
Normal findings in a chest x-ray will show a:
The following abnormalities can be seen on a chest x-ray test. These includes:
Images and photographs related to chest x-ray:
Additional resources and references for this Chest X-ray nursing study guide:
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