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NR 304-Exam 1 With Correct Actual Questions And Correctly Well Defined Answers
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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 ...

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  • October 29, 2024
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  • 2024/2025
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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

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