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Holistic ABSN Final Questions With Complete Solutions
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Holistic ABSN Final Questions With Complete Solutions
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Holistic ABSN Final Questions With Complete Solutionsabdominal assessment order Correct Answer 1. inspection
2. auscultation
3. palpation
4. percussion
Abdominal sounds (bowel sounds) Correct Answer normal
noises made by the intestines auscultation of the abdomen is
performed to evaluate these sounds and to detect abnormalities.
increased bowel sounds can indicate a bowel obstruction. the
absence of these sounds can indicate ileus, which is the stopping
of intestinal peristalsis
Adventitious breath sounds Correct Answer Abnormal breath
sounds such as wheezing, stridor, rhonchi, and crackles.
Apical heart sounds location Correct Answer 5th-6th
intercostal space left midclavicular line
arterial insufficiency symptoms Correct Answer -weak pedal
pulses
-shiny and cool skin
-intermittent claudication
arterial vs venous insufficiency Correct Answer -Both may
commonly occur simultaneously
-Arterial pain is intermittent claudication while venous pain is
aching
-Arterial -pulses absent; Venous- present
, -Arterial ulcers are painful while venous ones aren't if
superficial
-Arterial ulcers have a black base while venous are beefy red to
yellow
-Arterial- edema is minimal while in venous edema is moderate
to severe (nonpitting)
arterial vs venous ulcers Correct Answer arterial - pale, not a
lot of blood, cool, usually on upper feet and toes
venous - not as painful, red tissue, bloods, warm
Bulla Correct Answer Large blister that is usually more than
0.5 cm in diameter
Capillary refill Correct Answer A test that evaluates distal
circulatory system function by squeezing (blanching) blood
from an area such as a nail bed and watching the speed of its
return after releasing the pressure.
Circumduction Correct Answer circular movement of a limb at
the far end
coffee ground emesis Correct Answer Vomitus of coffee
ground appearing particles that represents a upper
gastrointestinal bleed that has occurred slowly enough for the
gastric acid to denature the blood.
COLDSPA Correct Answer Pain assessment:
1. Character
2. Onset
3. Location
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