Exam (elaborations)
Nursing 235 Chapter 19 Questions And Answers With Verified Solutions 100% Correct!!!
- Course
- Institution
Nursing 235 Chapter 19 Questions And Answers With Verified Solutions 100% Correct!!!
[Show more]
Content preview
Nursing 235 Chapter 19 Questions AndAnswers With Verified Solutions 100%
Correct!!!
right upper quadrant - ANSWER✔✔ liver, gallbladder
left upper quadrant - ANSWER✔✔ pancreas, spleen, stomach
right lower quadrant - ANSWER✔✔ appendix, cecum
left lower quadrant - ANSWER✔✔ sigmoid colon
inspect skin color, integrity - ANSWER✔✔ -normal: normal for ethnicity but paler
than arms and legs, white striae (healed stretch marks), skin intact, warm and dry
-abnormal: purple flank color suggests hemorrhage, striae may be caused by
ascites, rashes and lesions (ABCDE)
ABCDE - ANSWER✔✔ -asymmetry
-border
-color
-diameter
-evolving
inspect venous pattern - ANSWER✔✔ -normal: scattered fine veins visible- might
be hard to see in dark skin tones
-abnormal: engorged, prominent veins suggest liver disease (portal hypertension
and ascites)
, inspect umbilicus - ANSWER✔✔ -normal: midline and centrally located, pinkish,
inverted, round or conical
-abnormal: deviated from midline, inflamed, crusted, bluish, everted, (if its recent
change then its abnormal because some naturally have everted ones)
inspect abdominal contour - ANSWER✔✔ -normal: flat, rounded, or scaphoid
(sunken), symmetric, if ascites (round and hard), MEASURE abdominal girth
-abnormal: distention suggests gas or fluid
-"6 Fs": fat, feces, fetus, fibroids, flatulence, and fluid, asymmetry suggests mass,
scaphoid suggests severe underweight
inspect vascular pulsations and peristaltic waves - ANSWER✔✔ -normal: no
pulsations unless thin, no peristaltic waves unless thin
-abnormal: vigorous, wide, exaggerated pulsations suggest AAA (abdominal aortic
aneurysm), increased peristaltic waves suggest SBO (small bowel obstruction)
auscultate - ANSWER✔✔ diaphragm then bell
auscultation with diaphragm of stethoscope for bowel sounds - ANSWER✔✔ -
normal: series of irregular intermittent, soft clicks and gurgles are heard at a rate of
5 to 30 per minute
-abnormal: hyperactive (higher pitched, more gurgles and clicks), hypoactive (must
listen for a full five minutes before documenting "absent" which a medical
emergency
auscultate with bell of stethoscope for abdominal vascular sounds-bruits
ESPECIALLY IMPORTANT IF PT HAS HTN OR SUSPECTED ARTERIAL
INSUFFICIENCY TO THE LEGS - ANSWER✔✔ -normal: bruits are not
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 classhub. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
