Other
NR304 Exam 2 Study Guide / NR 304 Exam 2 Study Guide (Latest-2023): Chamberlain College of Nursing
- Course
- Institution
NR304 Exam 2 Study Guide / NR 304 Exam 2 Study Guide (Latest-2023): Chamberlain College of Nursing
[Show more]
Seller
Follow
EXAMGUIDE
Reviews received
Content preview
1, Percussion: Tone (4 quadrants), *Ascites(fluid in the abdomen, becomes protuberant) flip pt to
left-have tympana on right dull on left and vice versa assessment (p. 553). –want tympana due
to gas
Palpation: Light and deep palpation.
Special procedures:
Rebound tenderness (Blumberg at McBurney’s point) and Iliopsoas Sign-appendix, Murphy’s
Sign-gallbladder
Illeocecal valve RLQ –watery
Terms to know…
Rectus Diastasis-separation of the rectus muscles midline. keep abdominal contents in
place, pregnant women, body builders, abd. Surgery.
Cullen’s Sign-blue ring around umbilicus, internal bleeding
Borborygmi-really loud bowl sounds, hungry, negative sound when auscultating
Paralytic Ileus-and not walking. Bowel obstruction.
Melena-Blood in stool, oxidized blood. Black tarry thick stools
Shifting Dullness- ascites patients
Distended/Distention-gas, ascites
Guarding of the Abdomen-Involuntary and voluntary
What is involved in the ongoing assessment of a client with anNG tube to suction . . .?
WHY . . .? –Drainage, aspirate gastric contents every time before you insert anything,
turn off suction container when listening to bowel sounds
Nursing Diagnoses
Ineffective Nutrition: less than body requirements r/t nausea and vomiting
Constipation r/t decreased fluid & fiber intake, bed rest, medications
Risk for ineffective health maintenance r/t lack of knowledge of need for recommended
colon screenings
Pain, acute r/t inflammatory process
What Predicts What??
Hemoglobin 6.8
Burning Sensation in epigastric region
No Appetite
Nausea/Vomiting
Test your knowledge
A client reports abd. pain. How should the nurse proceed with the assessment?
1. Deep palpation
2. Assessing the painful area first
3. Assessing the painful area last with light palpation
4. Checking for warmth at the painful area
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EXAMGUIDE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79650 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now