1 / NUR 2180 Physical Assessment Module 5 Quiz GI,GU,Breast and Axilla
1.How do we perform light palpation on the abdomen?: use first 4 fingers to depress the skin about 1 cm inside and move it in a rotation motion, clockwise.
2.GI assessment order: inspect, auscultate, percuss, palpate
3.Why do we listen before we palpate the abdomen?: so we do not disrupt or dislodge anything within the bowels.
4.What is voluntary guarding?: Patient volitionally tenses the abdominal mus- cles when the examiner palpates.
5.What things do we feel for when palpating the abdomen?: organs, size, consistency, masses, temperature, tenderness, pain, mobility
6.Where do we percuss for kidney tenderness?: on the posterior surface at the 12th rib at the CVA angle.
7.How do we percuss for kidney tenderness?: indirectly with a hand and fist. look for signs of pain.
8.What are the signs of breast cancer?: lumps or masses felt in the breasts or axilla, movable lumps, dimpled or reddened skin, tenderness to touch
9.What is the role of the RN during a male or female GU exam?: Assist the provider with the exam by holding the patient, giving them tools, collecting specimens and advocating for the patient.
10.hypoactive bowel sounds are: sound every 5-6 seconds
11.normal bowel sounds are: sounding 3-4 sec in each quadrant
12.hyperactive bowel sounds are: heard 1-2 seconds in each quadrant and are normally very loud
13.absent bowel sounds: no sounds in 3-5 minutes
14.How long do we listen to bowel sounds with absent bowel sounds?: 5 minutes per quadrant
15.Causes of absent bowel sounds: obstruction, anesthesia
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