NR 304 Exam 1 Complete Questions And Answers Rated A+
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Course
NR 304
Institution
NR 304
NR 304 Exam 1 Complete Questions And Answers Rated A+
Where do you find tympani? ANS All 4 quadrants, normal
Where do you find dullness? ANS RUQ-high under costal margin-liver
Where do you find resonance? ANS lungs
How do you percuss liver span? ANS Hold breath or let out all breath -...
NR 304 Exam 1 Complete Questions And Answers
Rated A+
Where do you find tympani? ANS All 4 quadrants, normal
Where do you find dullness? ANS RUQ-high under costal margin-liver
Where do you find resonance? ANS lungs
How do you percuss liver span? ANS Hold breath or let out all breath - (liver moves) and percuss downward at L
Mid clavicular line - area of dullness Is measured - 5-10 cm (women smaller than men)
How do you percuss spleen? ANS Percuss at Left Mid-axillary line. Percuss down to dullness, and then up to
dullness measuring span.
How are the fluid wave and shifting dullness tests performed? What do they indicate? ANS Fluid wave - push on
one side of patient's abdomen - with patient supine - put patient hand in middle and feel wave (if there is fluid) on
other side of abdomen.. if not fluid but fat, the patient hand will stop the "wave" - Shifting dullness - percuss as
patient is supine from tympani to dullness then have lay on side and do same. IF fluid, the fluid shifts and dullness
shifts - both indicate ascites = 3rd space or extracell. Spacing of fluid from VEINS and PROTEIN which pulls more
fluid from the veins = edema
What is purpose of light palpation? ANS Light for superficial masses, muscle tone, symmetry, pain
What is the purpose of deep palpation? ANS Deep palpation for organomegaly
What is rebound tenderness? IF + = ANS Done by pushing into abdomen and quickly bringing hands up - the
reflexive bounce causes peritoneal spasm - PAIN if inflamed = +Blumbergs test
What examination findings would you expect with each condition? Obesity ANS -Obesity - protruberant
abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites ANS + fluid wave and shifting
dullness and history of liver or cancer issue -
, See LOW albumin in their blood levels - other edema?
What examination findings would you expect with each condition? Gaseous distention ANS tons of tympani
with a distended abdomen - common with ileus where intestinal motility stops/slows and gas-producing bacteria is
hanging in one place of intestine.
What examination findings would you expect with each condition? tumor ANS area of organomegaly or mass
palpable with deep palpation - dullness on percussion
What tests are done for a person with suspected appendicitis? ANS Psoas - right leg lift -
Obturator - bent R leg - ab and adducted
Rebound Tenderness- If ruptured
What tests are done for a person with suspected cholecystitis? ANS Murphy - palpation of gallbladder with the
inhalation of breath - liver moves up - fingers touch gallbladder - + liver function tests and ultrasound for stones
What are the symptoms of Crohns and Ulcerative colitis? ANS Bloody, mucousy, diarrhea, bloating, gas, urgency
to have stool - abdominal pain - may have anal and rectal ulcers
Melena ANS black tarry stools are sign of blood that HAS been digested by HCL acid (stomach) or upper GI
Bright red stool ANS blood in stool has not been digested-lower GI-hemorroids
What are some signs of internal abdominal bleeding? ANS Cullen, Grey Turner Flank, HYPOTENSION,
TACHYCARDIA, low blood count, shock (poor perfusion) and rebound tenderness
apex of heart ANS 5th intercostal space (this is referred to as the PMI - Point of Maximum Impulse of heart)
base of the heart ANS Can be auscultated over the second or third left intercostal space.
systole ANS Contraction of the heart
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