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NU 325 Exam 5 SG Questions With Complete Solutions
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NU 325 Exam 5 SG Questions With Complete Solutions
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NU 325 Exam 5 SG Questions With Complete Solutions1. Be familiar with the sequence of the abdominal examination
and why this is altered from other body systems. Correct
Answers • Inspect
• Auscultate
• Percuss
• Palpate
1. Be prepared to take a history of a patient who is having
abdominal complaints. Correct Answers • Abdominal Pain?
Where? How long? Constant? Intermittent? Character? What
makes the pain worse? What relieves the pain? Chronic vs
Acute?
i. Abdominal Pain may be visceral from an internal organ (dull,
generalized, poorly located); parietal due to inflammation
(sharp, localized and aggravated by movement) or referred from
a disorder at another site
• History of GI issues? (ulcer, gallbladder, hepatitis/jaundice,
appendicitis, colitis, hernia)
• Operations? Look for scars
• Abdominal Studies (x-ray, colonoscopy, EGD) Results?
1. Fluid wave test Correct Answers • Place the ulnar edge of
another examiner's hand or the patient's own hand firmly on the
abdomen in the midline. (This stops transmission across the skin
of the upcoming tap.) Place your left hand on the person's right
flank. With your right hand reach across the abdomen and give
the left flank a firm strike.
,• If ascites is present, the blow will generate a fluid wave
through the abdomen, and you will feel a distinct tap on your
left hand.
1. Iliopsoas muscle test Correct Answers • Perform the
iliopsoas muscle test when the acute abdominal pain of
appendicitis is suspected.
• With the person supine, lift the right leg straight up, flexing at
the hip; then push down over the lower part of the right thigh as
the person tries to hold the leg up.
• When the test is negative, the person feels no change.
• When the iliopsoas muscle is inflamed, pain is felt in the RLQ,
and the test is positive.
1. Know how to assess for costovertebral tenderness and what
that means. Correct Answers • Place one hand over the 12th
rib at the CVA on the back
• Thump that hand with the ulnar edge of other with fist - No
pain should be felt!
• Sharp Pain occurs with inflammation of the kidney
1. Know how to percuss the borders of the liver. Correct
Answers • Place your left hand under the person's back parallel
to the 11th and 12th ribs and lift up to support the abdominal
contents.
• Place your right hand on the RUQ, with fingers parallel to the
midline.
• Push deeply down and under the right costal margin.
• Ask the person to breathe slowly. With every exhalation, move
your palpating hand up 1 or 2 cm.
, • It is normal to feel the edge of the liver bump your fingertips
as the diaphragm pushes it down during inhalation. It feels like a
firm, regular ridge. Often the liver is not palpable and you feel
nothing firm.
1. Know how to prepare and position the patient for an
abdominal exam. Correct Answers • Supine with hand by side
and knees bent
1. Know how to properly assess for vascular sounds and what
these sounds may indicate. Correct Answers • Use the bell of
the stethoscope for vascular sounds (systolic bruit)
• Using firmer pressure, check over the aorta, renal and iliac
arteries
• A systolic bruit is a pulsatile blowing sound and occurs with
stenosis or occlusion of an artery
1. Know special consideration for the infant and child. Correct
Answers • Inspection: Younger than 4 years abdomen is
protuberant but after age 4 the potbelly is present with lumbar
lordosis but abdomen looks flat while supine. The contour of the
abdomen is protuberant because of the immature abdominal
musculature.
• Respiratory effort visualized in abdomen until age 7
• Auscultation: findings same as adult
• Percussion: tympany over the stomach; liver span varies due to
age
• Palpation: Liver is easily palpable
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