NUR 2180 Physical Assessment Quiz 3-Questions with Correct Answers/ Verified/ Latest Update
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Course
NUR 2180
Institution
NUR 2180
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.
GI assessment order - inspect, auscultate, percuss, palpate
Why do we listen before we palpate the abdomen? - so we do not disrupt or dislodg...
NUR 2180 Physical Assessment Quiz 3-Questions with Correct Answers/
Verified/ Latest Update
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.
GI assessment order - ✔✔inspect, auscultate, percuss, palpate
Why do we listen before we palpate the abdomen? - ✔✔so we do not disrupt or dislodge
anything within the bowels.
What is voluntary guarding? - ✔✔Patient volitionally tenses the abdominal muscles when
the examiner palpates.
What things do we feel for when palpating the abdomen? - ✔✔organs, size, consistency,
masses, temperature, tenderness, pain, mobility
Where do we percuss for kidney tenderness? - ✔✔on the posterior surface at the 12th rib at
the CVA angle.
How do we percuss for kidney tenderness? - ✔✔indirectly with a hand and fist. look for
signs of pain.
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, nipple crust, skin sores,
sunken nipple, growing vein,
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.
hypoactive bowel sounds are - ✔✔sound every 5-6 seconds
, normal bowel sounds are - ✔✔sounding 3-4 sec in each quadrant
hyperactive bowel sounds are - ✔✔heard 1-2 seconds in each quadrant and are normally
very loud
absent bowel sounds - ✔✔no sounds in 3-5 minutes
How long do we listen to bowel sounds with absent bowel sounds? - ✔✔5 minutes per
quadrant
Causes of absent bowel sounds - ✔✔obstruction, anesthesia
Causes of hyperactive bowel sounds - ✔✔Crohn's disease
Diarrhea
Food allergy
GI bleeding
Infectious enteritis
Ulcerative colitis
Causes of hypoactive bowel sounds - ✔✔Inflammation of the peritoneum (peritonitis)
From paralytic ileus as following abdominal surgery
Late bowel obstruction
Constipation
Which organs are located in the RUQ? - ✔✔Liver;
Gallbladder;
Colon;
Small intestine - portions
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