NR 304-Exam 1 Questions and Correct Answers the Latest Update and Recommended Version
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Course
NR 304
Institution
NR 304
Where do you find tympani?
→ All 4 quadrants, normal
Where do you find dullness?
→ RUQ-high under costal margin-liver
Where do you find resonance?
→ lungs
How do you percuss liver span?
→ Hold breath or let out all breath - (liver moves) and percuss downward at L Mid
clavicular lin...
NR 304-Exam 1 Questions and Correct
Answers the Latest Update and
Recommended Version
Where do you find tympani?
→ All 4 quadrants, normal
Where do you find dullness?
→ RUQ-high under costal margin-liver
Where do you find resonance?
→ lungs
How do you percuss liver span?
→ 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?
→ 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?
→ 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 examination findings would you expect with each condition? Ascites
→ + 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
→ 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
→ area of organomegaly or mass palpable with deep palpation - dullness on percussion
What tests are done for a person with suspected appendicitis?
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