100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NR304 Exam 2 Study Guide / NR 304 Exam 2 Study Guide (Latest-2021): Chamberlain College of Nursing $15.49   Add to cart

Exam (elaborations)

NR304 Exam 2 Study Guide / NR 304 Exam 2 Study Guide (Latest-2021): Chamberlain College of Nursing

 4 views  0 purchase
  • Course
  • Institution

NR304 Exam 2 Study Guide / NR 304 Exam 2 Study Guide (Latest-2021): Chamberlain College of Nursing

Preview 2 out of 13  pages

  • October 5, 2021
  • 13
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers
avatar-seller
1

, Percussion: Tone (4 quadrants), *Ascites(fluid in the abdomen, becomes protuberant) flip pt to
left-have tympana on right dull on left and vice versa assessment (p. 553). –want tympana due
to gas
Palpation: Light and deep palpation.
Special procedures:
Rebound tenderness (Blumberg at McBurney’s point) and Iliopsoas Sign-appendix, Murphy’s
Sign-gallbladder
Illeocecal valve RLQ –watery

Terms to know…
 Rectus Diastasis-separation of the rectus muscles midline. keep abdominal contents in
place, pregnant women, body builders, abd. Surgery.
 Cullen’s Sign-blue ring around umbilicus, internal bleeding
 Borborygmi-really loud bowl sounds, hungry, negative sound when auscultating
 Paralytic Ileus-and not walking. Bowel obstruction.
 Melena-Blood in stool, oxidized blood. Black tarry thick stools
 Shifting Dullness- ascites patients
 Distended/Distention-gas, ascites
 Guarding of the Abdomen-Involuntary and voluntary
 What is involved in the ongoing assessment of a client with anNG tube to suction . . .?
WHY . . .? –Drainage, aspirate gastric contents every time before you insert anything,
turn off suction container when listening to bowel sounds

Nursing Diagnoses
 Ineffective Nutrition: less than body requirements r/t nausea and vomiting
 Constipation r/t decreased fluid & fiber intake, bed rest, medications
 Risk for ineffective health maintenance r/t lack of knowledge of need for recommended
colon screenings
 Pain, acute r/t inflammatory process

What Predicts What??
 Hemoglobin 6.8
 Burning Sensation in epigastric region
 No Appetite
 Nausea/Vomiting

Test your knowledge
A client reports abd. pain. How should the nurse proceed with the assessment?
1. Deep palpation
2. Assessing the painful area first
3. Assessing the painful area last with light palpation
4. Checking for warmth at the painful area

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 NURSINGEXPERT. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

62555 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling

Recently viewed by you


$15.49
  • (0)
  Add to cart