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Questions with Verified Answers – Galen. _’- _’- _’- _’- _’-
What is included in the McMurray test?
_’- _’- _’- _’- _’- _’- _’-_’- _’- -supine _’-
-flex one knee and hip
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-thumb and index finger of one hand on either side of the knee
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-hold the heel of the foot w/ other hand
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-Rotate the lower leg and foot laterally
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-Slowly extending the knee, noting pain or clicking
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-Repeat
What does referred pain means in terms of abdominal pain?
_’- _’- _’- _’- _’- _’- _’- _’- _’- _’-_’- the
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pains coming from different locations
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Would older adults have diminished pain sensitivity?
_’- _’- _’- _’- _’- _’- _’-_’- _’- yes
What sends sensations or messages to other pts. of the body & body
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sends them back to brain?
_’- spinal cord
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What are the 4 spinal sections?
_’- _’- _’- _’- _’- _’-_’- _’- -cervical
-thoracic
-lumbar
-sacral
,How do you asses foot metatarsophalangeal joints?
_’- _’- _’- _’- _’- _’- _’-_’- squeeze foot
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from each side w/ thumb & fingers
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The nurse auscultates the patient's abdomen and hears in RUQ rushing,
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tinkling, high pitched sounds. These type of sounds indicate:
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a. Hyperactive bowel sounds
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b. Small bowel obstruction
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c. Normal finding
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d. Hypoactive bowel sounds
_’- _’- _’- _’-_’- a. Hyperactive bowel sounds
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Which statement by the patient indicates he has a medical history of
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dysuria?
a. "I seem to void alot at night."
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b. "My urine is red or rust color"
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c. "My urine is cloudy"
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d. "I have trouble starting to void
_’- _’- _’- _’- _’- _’- _’-_’- _’- d. "I have trouble starting to void
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The patient, during a comprehensive assessment, asks why the nurse
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listens to the bowel sounds before palpation or percussion. Which
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statement by the nurse below indicate correct rationale about assess the
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abdomen
a. "I just finished assessing your lungs and heart and proceeded to the
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abdomen because you were in the proper position for it."
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b. "There are not any set rules of assessment."
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,c. "To avoid altering bowel sound activity"
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d. "To avoid you any pain or discomfort"
_’- _’- _’- _’- _’- _’- _’- _’-_’- _’- c. "To avoid altering bowel
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sound activity" _’-
Where is the vertical line of the abdomen?
_’- _’- _’- _’- _’- _’- _’- _’-_’- xyphoid of sternum
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thorugh umbilicus _’-
What line runs through umbilicus across abdomen?
_’- _’- _’- _’- _’- _’- _’-_’- _’- lateral
How many abdominal regions are there?
_’- _’- _’- _’- _’- _’-_’- -9
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-rt. hypochondriac region
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-rt. lumbar region
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-rt. iliac (injuinal) region
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-epigastric region _’-
-umbilical region _’-
-hypogastric region _’- _’-
-lt. hypochondriac region
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-lt. lumbar region
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-lt. iliac (inguinal) region
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Is elimination, abdominal pain, indigestion, appetite, history, lifestyle
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practices considered subjective or objective data?
_’- subjective _’- _’- _’- _’- _’-_’- _’-
, Is it important to recognize elimination as sensitive & facilitate response
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w/ descriptive terms/ex?
_’- yes _’- _’-_’- _’-
Dull, aching, knife like, stabbing, throbbing are all abdominal pain
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descriptions? yes _’-_’- _’-
Emesis _’-_’- _’- nausea/vomiting
What are the most important ?'s to ask w/ emesis?
_’- _’- _’- _’- _’- _’- _’- _’- _’- _’-_’- -when does it
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occur
-what triggers it _’- _’-
What is declined appetite in older adults caused by?
_’- _’- _’- _’- _’- _’- _’- _’- _’-_’- -altered
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metabolism _’-
-decreased tastes _’-
-decreased mobility _’-
What are the 3 ?'s to ask with elimination?
_’- _’- _’- _’- _’- _’- _’- _’- _’-_’- _’- -# of stools/ day
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-consistency
-any recent change?
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What are the 4 urine ?'s to ask?
_’- _’- _’- _’- _’- _’- _’- _’-_’- -# times void in day
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-# times void at night
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