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Maryville AHA NURS 612 Exam 3 Questions and answers rated A+ 2024/2025
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Maryville AHA NURS 612 Exam 3 Questions and answers rated A+ 2024/2025
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Maryville AHA NURS 612 Exam 3HPI questions for leader complaint of abdominal issue - ANS○Abdominal pain-OLDCARTS
○When did the ache start?
○Where is the pain for your belly?
○Does the ache radiate to different locations?
○Have experience nausea/vomiting, indigestion or growth in belching.
○What medications have you ever used to treat your signs and symptoms?
○Have you had any diarrhea or constipation?
○Do you need to use laxative often?
○What is your ordinary nutritional conduct?
Inspection of abdomen - ANS-Abdominal contour
-Symmetry
-Umbilicus
-Skin Color
-Vascularity
-Scars
-Striae
-Lesions or rashes
-Abdominal motion when breathing
-Aortic pulsation
-Have affected person boost head at the same time as laying down and search for hundreds
hernia or muscle separation
Abdominal evaluation order - ANSinspection, auscultation, percussion, palpation
Always auscultate prior to percussion and palpation as it may alternate sound.
Abdomen Auscultation - ANSBowel sounds in all four quadrants- note frequency and man or
woman
listen for friction rubs over liver and spleen
concentrate for bruits over the aortic, renal, illiac and femoral arteries
concentrate for venous hum around epigastric place above the belly button
Abdominal findings abdomen - ANS○Bruits- A swishing sound heard over the aortic, renal
iliac, and femoral arteries, indicating narrowing or aneurysm.
○Pop/Tinkles- High pitch sound suggesting intestinal fluid and air below strain, as in early
obstruction.
, ○Rushes- Rushes of high-pitched sounds that coincide with cramping suggests intestinal
obstruction.
○Borborygmi- Increased extended gurgles arise with gastroenteritis, early intestinal
obstruction, and starvation.
○Rubs- Grating sounds that fluctuate with breathing. Indicate infection of the peritoneal floor
of an organ from tumor, contamination, or splenic infarct.
○Venous Hum- A tender humming noise regularly heard in hepatic cirrhosis that is due to
accelerated collateral circulate between portal and systemic venous system.
○Succussion splash- A splashing noise produced by shaking the body whilst there's both
fuel and fluid in a cavity or free air inside the peritoneum or thorax.
○Decreased/absent bowel sounds- Occurs with peritonitis or paralytic ileus.
How to percuss to estimate the liver span - ANSo First, decide the lower border of the liver
by percussing up from an area of tympany along the right midclavicular line. Mark the factor
in which tympany adjustments to dullness, which commonly happens at or barely beneath
the costal margin.
O Second, determine the top border of the liver by percussing down from a place of
resonance alongside the proper midclavicular line. Mark the factor where resonance
adjustments to dullness, which generally is inside the 5th intercostal space.
O Third, degree the gap among the marks. The vertical liver span usually ranges from 6 to
12 cm.
Blumberg Sign - ANSRebound tenderness, RLQ, appendicitis, peritoneal infection
Cullen sign - ANSecchymosis around umbilicus
-hemoperitoneum, pancreatitis, ectopic pregnancy
Dance sign - ANSAbsence of bowel sounds, RLQ, intussusception, bowel obstruction
Grey Turner's sign - ANSEcchymosis of the flanks. Possible rupture of the spleen.
Hemoperitoneum, pancreatitis, ache may additionally radiate to the left shoulder
Kehr's signal - ANSAbdominal ache radiated to the left shoulder, splenic rupture, renal
calculi, ectopic being pregnant
Markle Sign (heel jar) - ANSTests for peritoneal inflammation, appendicitis, jarring to the
body. Stand with instantly legs, then stand on your ft, then loosen up. Positive if this reasons
pain.
McBurney's sign - ANSrebound tenderness to the epigastric location associated with
appendicitis
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