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PN 111-CARDIAC AND GI EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED $11.49   Add to cart

Exam (elaborations)

PN 111-CARDIAC AND GI EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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PN 111-CARDIAC AND GI EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED What is cholecystitis? inflammation of the gallbladder What is cholelithiasis? stones (Gallstones) in the gallbladder What is gastroesophageal reflux disease (GERD)? Flow of gastric secretions (stomach acid) ...

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  • September 14, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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PN 111-CARDIAC AND GI EXAM QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED


What is cholecystitis?

inflammation of the gallbladder

What is cholelithiasis?

stones (Gallstones) in the gallbladder

What is gastroesophageal reflux disease (GERD)?

Flow of gastric secretions (stomach acid) up into esophagus (regurgitation).

What are symptoms of liver disease?

Ascites, jaundice, cutaneous spider angiomas, dark urine, clay-colored stools,

and spleen enlargement.

When inspecting the abdomen what are the expected and abnormal findings?

Expected:

Surface characteristics should be smooth, with centrally located umbilicus—may be

inverted

Striae, scars, faint vascular network.

•***Faint change in skin color of the abdomen from the arms and legs is expected.

Contour usually sunken; slight protrusion if overweight or obese.

Abnormal:

Bulging in an area may indicate pancreatitis, hernia, or enlarged liver, or mass/tumor

Distention may be caused by fluid or air (ascites)

Pulsations or visible peristalsis

, What is the correct sequence for assessing the abdomen?

IAPP:

Inspection

Auscultation

Palpation

Percussion

How does the nurse auscultate for bowel sounds?

Auscultate abdomen for bowel sounds:

Use diaphragm of stethoscope lightly and listen in a systematic progression—starting

in the RLQ unless there is pain present.

•Expected finding is 5-30 bowel sounds per minute or one every 5-15 seconds in

all quadrants

•If no bowel sounds are heard you must listen for up to 5 minutes before notifying

the provider and documenting absent BS

What abnormal abdominal sounds would the nurse assess for?

Auscultate abdomen for arterial and venous vascular sounds:

Use bell of stethoscope to auscultate for arterial (vascular) sounds- over aorta,

renal, iliac, and femoral arteries for bruits--swishing or blowing sound.

Use bell over above umbilicus for venous hum (abdominal aneurism).

Where would the nurse place the stethoscope when assessing for an aortic

aneurism

Above the umbilicus (area #4)

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