Exam (elaborations)
Physical Assessment Final Questions With Complete Solutions
- Course
- Institution
Physical Assessment Final Questions With Complete Solutions
[Show more]
Content preview
Physical Assessment Final Questions With CompleteSolutions
Abdominal Auscultation: Normal vs Abnormal: Bowel Sounds
Correct Answer Normoactive: series of intermittent, soft clicks
and gurgles (5-30/min)
Hyperactive:
-rushing, tickling, high-pitched
-rapid motility heard in early SBO, gastroenteritis, diarrhea,
laxatives
Hypoactive:
-quiet, distant
-inflamed peritoneum, pneumonia
-slow return after surgery and w/ narcotics
Absent:
-unless we know why, this is a medical emergency. listen for a
full 5 min prior to notifying provider
*verify w/ experienced nurse
Abdominal Auscultation: Normal vs Abnormal: Vascular
Sounds Correct Answer *use bell and listen over abdominal
aorta, renal arteries, and femoral arteries for bruits
Normal: No sounds or only systolic sounds over arteries
Abnormal:
-Bruit
-Aneurysm
-Stenosis
Abdominal Auscultation: Normal vs Abnormal: Venous Hum
Correct Answer *bell of stethoscope over epigastrium and
umbilical areas
,Normal: No sound
Abnormal: Venous hum--> portal HTN/ liver disease
Abdominal Inspection: Normal vs Abnormal: Abdomen for
contour Correct Answer Normal: Flat, rounded, or scaphoid
Abnormal:
-Protuberant (often from obesity)
-distention- air (flatus/gas), fluid
-Distention above umbilicus- stomach, dilation, pancreatic mass
-distention below umbilicus- bladder, uterus, cyst/tumor
6 F- fat, feces, fetus, fibroids, flatulence, fluid
Abdominal Inspection: Normal vs Abnormal: Abdomen from
symmetry Correct Answer Normal: Equal on both sides
Abnormal: asymmetry seen in masses, hernia, SBO (small
bowel obstruction)
Abdominal Inspection: Normal vs Abnormal: Aortic pulsation
Correct Answer Normal: Slight pulsations in epigastrium
Abnormal: vigorous, wide may be seen in abdominal aortic
aneurysm (AAA)
Abdominal Inspection: Normal vs Abnormal: Peristaltic Waves
Correct Answer Normal: None or (in very thin ppl) very slight
ripples
Abnormal: ripples from LUQ to RUQ suggest small bowel
obstruction, SBO
Abdominal Inspection: Normal vs Abnormal: Skin Color
Correct Answer Normal:
,-expected for ethnicity, lighter than exposed areas
Abnormal:
-pale and taut=ascites
-purple flank color in bleeding
-dark,bluish striae=cushing syndrome`
Abdominal Inspection: Normal vs Abnormal: Umbilicus for
contour Correct Answer Normal: Inverted or level, rounds,
conical
Abnormal: everted (outie) from distention or umbilical hernia
Abdominal Inspection:: Normal vs Abnormal: Skin for Venous
Patterns Correct Answer Normal: Scattered fine veins
Abnormal: engorged and prominent in cirrhosis, inferior vena
cava obstruction, portal hypertension, or ascites
Abdominal Inspection:: Normal vs Abnormal: Skin Integrity
Correct Answer Normal: no rases, lesions or wounds
Abnormal:
-Striae, rashes, lesions, changes in moles, bleeding moles, or
petichiae
Abdominal Inspection:: Normal vs Abnormal: Umbilicus for
color Correct Answer Normal: pinkish and lighter/darker than
surrounding skin
Abnormal: inflamed, crusted, bluish seen in intraabdominal
hemorrhage
Abdominal Inspection:: Normal vs Abnormal: Umbilicus for
position Correct Answer Normal: Midline, centrally located
, Abnormal: deviated from midline in mass hernia, enlarger
organs or fluid
Abdominal Palpation: Normal vs Abnormal: Superficial masses
Correct Answer Normal: no masses
Abnormal: Superficial masses
* ask client to lift head off bed. If there is a mass, it will become
more prominent
Abdominal Palpation: Normal vs Abnormal: Tenderness
Correct Answer Normal: Nontender, soft
Abnormal:
-Pain--> infection, inflammation, gas, tumors, enlarged organs
-rigid
-Board like
Act FAST for Stroke Correct Answer F- face look uneven?
A- one Arm hanging down?
S- slurred speech?
T- Time to call 911
After meals Correct Answer PC
Alzheimer's Medical Tx Correct Answer Dx:
-only upon autopsy
Tx:
-donepezil
-antidepressants
-antipsychotics
Alzheimer's Risk Fx Correct Answer -Older
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 Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83100 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now