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NUR230 Test 1 Questions & Answers
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NUR230 Test 1 Questions & Answers
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NUR230 Test 1 Questions & Answersdysphasia Correct Ans-language disorder marked by deficiency in the generation of speech, &
sometimes also in its comprehension, due to brain disease or damage
dysarthria Correct Ans-muscles used for speech are weak or have difficulty controlling them.
growling of stomach Correct Ans-What is borborygmus?
inspection, ausculation, percussion, palpation Correct Ans-What is the order an abdominal
assessment process?
inspection Correct Ans-Contour
Flat
Rounded
Scaphoid
Protuberant
Symmetry
Symmetrical Bilaterally
Bulges, Mass
Pulsations
Aorta pulsation
Breathing
Umbilicus
,Midline
Inverted vs Everted
Piercings
Skin/ Hair Distribution
Appropriate for gender
Smooth, even pigmentation
Scars/Surgical incisions
Striae - if large then measure
Hair - even, large/small, appropriate for gender
Piercings
Tattoo's
causes of abdominal distention Correct Ans-Obesity
Air or gas
Ascites - fluid
Ovarian cyst
Pregnancy
Feces
Tumor
Distended bladder
1 reason
,type 1 (poop) Correct Ans-separate hard lumps, like nuts (hard to pass)
type 2 (poop) Correct Ans-sausage-shaped but lumpy
type 3 (poop) Correct Ans-like a sausage but with cracks on the surface
type 4 (poop) Correct Ans-like a sausage or snake, smooth and soft
type 5 (poop) Correct Ans-soft blobs with clear-cut edges
type 6 (poop) Correct Ans-fluffy pieces with ragged edges, a mushy stool
type 7 (poop) Correct Ans-watery, no solid pieces (entirely liquid)
red blood (stool assessment) Correct Ans-GI bleeding or localized bleeding around anus
black tarry (stool assessment) Correct Ans-Occult blood from GI bleeding
black non-tarry (stool assessment) Correct Ans-Iron medications
gray (stool assessment) Correct Ans-Hepatitis
auscultation (abdominal assessment) Correct Ans-always begins in the right lower quadrant
Bowel sounds
, Originate from movement of air/fluid through
small intestines
High pitched, "gurgling", irregular
"Normal" 5-30/min
Also documented as "present"
*Auscultation is performed after inspection r/t palpation can ↑ peristalsis, which would give a
false interpretation of bowel sounds*
hypoactive bowl sounds Correct Ans-< 5
hyperactive bowl sound Correct Ans-> 30
absent bowl sounds Correct Ans-must listen for 5 min. before stating absent
Density of abdominal contents, Locate organs,
Screens for abnormal fluid or masses Correct Ans-what is the purpose of percussion?
(Percuss lightly 1st - generally around certain organs)
general tympany Correct Ans-Should "shape" the organ -
Measure if findings are inconsistent with normal organ size
tympany (sound) Correct Ans-air/gas
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