NR 304-Exam 1 With Correct Actual Questions And Correctly Well Defined Answers
4 views 0 purchase
Course
NR304
Institution
NR304
Where do you find tympani? - correct answer All 4 quadrants, normal
Where do you find dullness? - correct answer RUQ-high under costal margin-liver
Where do you find resonance? - correct answer ...
NR 304-Exam 1
Where do you find tympani? - correct answer All 4 quadrants, normal
Where do you find dullness? - correct answer RUQ-high under costal margin-liver
Where do you find resonance? - correct answer lungs
How do you percuss liver span? - correct answer 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? - correct answer 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? - correct answer
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? - correct answer Light for superficial masses,
muscle tone, symmetry, pain
What is the purpose of deep palpation? - correct answer Deep palpation for
organomegaly
What is rebound tenderness? IF + = - correct answer 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 - correct answer
-Obesity - protruberant abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites - correct answer
+ 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 - correct answer
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 - correct answer
area of organomegaly or mass palpable with deep palpation - dullness on percussion
What tests are done for a person with suspected appendicitis? - correct answer
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? - correct answer
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? - correct answer Bloody,
mucousy, diarrhea, bloating, gas, urgency to have stool - abdominal pain - may have anal and rectal
ulcers
Melena - correct answer black tarry stools are sign of blood that HAS been digested
by HCL acid (stomach) or upper GI
Bright red stool - correct answer blood in stool has not been digested-lower GI-
hemorroids
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 RealGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
