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NURS 612 Exam 4 Questions Solved Correctly Latest 2025 (Rated A+) $8.49
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NURS 612 Exam 4 Questions Solved Correctly Latest 2025 (Rated A+)

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NURS 612 Exam 4 Questions Solved Correctly Latest 2025 (Rated A+) HPI questions for abdominal issues - Answers 1. Where is the pain located? 2. Do you have diarrhea? 3. Can you describe the characteristics of your bowel movements? 4. Have you been taking NSAIDs? 5. Do antacids help? Abdomen...

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  • January 11, 2025
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 612 Exm 4
  • NURS 612 Exm 4
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NURS 612 Exam 4 Questions Solved Correctly Latest 2025 (Rated A+)

HPI questions for abdominal issues - Answers 1. Where is the pain located?

2. Do you have diarrhea?

3. Can you describe the characteristics of your bowel movements?

4. Have you been taking NSAIDs?

5. Do antacids help?

Abdomen inspection - Answers surface, contour, movement

abdomen auscultation- friction rubs - Answers high in pitch- indicate inflammation, infection, tumor or
infarct

abdomen auscultation venous hums - Answers soft, low pitch, continuous- indicate increased collateral
circulation between portal and systemic venous system

abdomen auscultation- bruits - Answers harsh musical sound- indicates blood flow turbulence and
vascular disease

Why auscultate before palpation & percussion? - Answers percussion and palpation can stimulate bowel
activity, creating false bowel sounds

light abdominal palpation - Answers looking for muscle resistance, tenderness and large masses

moderate abdominal palpation - Answers used to palpate liver and spleen on inspiration

deep abdominal palpation - Answers looking for masses and tenderness

percussion of abdomen - Answers - percuss lightly on all 4 quadrants

- tympany should dominate b/c air rises to GI surface when pt is supine

*dullness occurs over a distended bladder, adipose tissue, fluid, or a mass

*hyperresonance is present with gastric distention

liver and spleen palpation - Answers liver should be firm, smooth, nontender and without nodules

spleen should not be palpable (unless enlarged)

kidney palpation - Answers right is more easily palpable, it is round, smooth and firm. left is not palpable

ascites - Answers inspection- glistening, taut appearance with striae, protuberant abdomen, bulging
flanks

, percussion- dullness that shifts when turned onto side

palpation- fluid wave (have pt hold arm against abdomen, place hands on both sides of abdomen, strike
one side and feel for fluid wave)

What does ascites indicate? - Answers increased fluid in the peritoneal cavity (caused by liver failure,
advanced CHF)

Psoas test - Answers raise R thigh against resistance (appendicitis)

obturator test - Answers bend right knee, laterally and medially rotate. pain = pelvic abscess or ruptured
appendix

aaron test - Answers abdominal or chest pain while palpating mcburney's point

Ballottement of abdomen - Answers push inward toward organ or mass. if it is freely movable it will
move upward and other surrounding structures will be displaced

Rovsing's sign - Answers Pain in RLQ with palpation of LLQ (appendicitis)

Murphy's sign - Answers Pain with palpation of gallbladder (seen with cholecystitis)

Cullen's sign - Answers bruising around umbilicus (pancreatitis, ectopic pregnancy or blood in the
peritoneum)

kehr sign - Answers abdominal pain radiating to left shoulder (renal calculi, splenic rupture, ectopic
pregnancy)

ballance sign - Answers Fixed dullness to percussion in left flank, and dullness in right flank that
disappears on change of position (Peritoneal irritation)

blumberg sign - Answers rebound tenderness (peritoneal irritation)

dance sign - Answers absence of bowel sounds in RLQ (intussusception)

gray turner sign - Answers ecchymotic areas on the flank (retroperitoneal bleed, hemorrhagic
pancreatitis, blood in peritoneum)

markle sign - Answers pain in abdomen when the standing patient drops from standing on toes to the
heels with a jarring landing (appendicitis, peritoneal irritation)

Romberg-Howship sign - Answers pain down medial aspect of thigh to knees

(strangulated obturator hernia)

HPI questions musculoskeletal - Answers Joint pain- swelling, redness, stiffness, limited ROM, worse
with weather changes

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