NR 304 Exam 1 Questions with Correct Answers

NR 304 Exam 1 Questions with Correct Answers Where do you find tympani? - Answer-All 4 quadrants, normal Where do you find dullness? - Answer-RUQ-high under costal margin-liver Where do you find resonance? - Answer-lungs How do you percuss liver span? - 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? - 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? - 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? - Answer-Light for superficial masses, muscle tone, symmetry, pain What is the purpose of deep palpation? - Answer-Deep palpation for organomegaly What is rebound tenderness? IF + = - 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 - Answer-- Obesity - protruberant abdomen with negative fluid wave- probable striae What examination findings would you expect with each condition? Ascites - 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 - 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 - Answer-area of organomegaly or mass palpable with deep palpation - dullness on percussion