NR 304-Exam 1 With Correct Actual Questions And Correctly Well Defined Answers
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NR304
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NR304
Where do you find tympani? - correct answer All 4 quadrants, normal
Where do you find dullness? - correct answer RUQ-high under costal margin-liver
Where do you find resonance? - correct answer ...
NR 304-Exam 1
Where do you find tympani? - correct answer All 4 quadrants, normal
Where do you find dullness? - correct answer RUQ-high under costal margin-liver
Where do you find resonance? - correct answer lungs
How do you percuss liver span? - correct 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? - correct 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? - correct 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? - correct answer Light for superficial masses,
muscle tone, symmetry, pain
What is the purpose of deep palpation? - correct answer Deep palpation for
organomegaly
What is rebound tenderness? IF + = - correct 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 - correct answer
-Obesity - protruberant abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites - correct 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 - correct 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 - correct answer
area of organomegaly or mass palpable with deep palpation - dullness on percussion
What tests are done for a person with suspected appendicitis? - correct answer
Psoas - right leg lift -
Obturator - bent R leg - ab and adducted
Rebound Tenderness- If ruptured
What tests are done for a person with suspected cholecystitis? - correct answer
Murphy - palpation of gallbladder with the inhalation of breath - liver moves up - fingers touch
gallbladder - + liver function tests and ultrasound for stones
What are the symptoms of Crohns and Ulcerative colitis? - correct answer Bloody,
mucousy, diarrhea, bloating, gas, urgency to have stool - abdominal pain - may have anal and rectal
ulcers
Melena - correct answer black tarry stools are sign of blood that HAS been digested
by HCL acid (stomach) or upper GI
Bright red stool - correct answer blood in stool has not been digested-lower GI-
hemorroids
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