NUR 631 Exam 2 Questions and Verified Solutions

NUR 631 Exam 2 Questions and Verified Solutions What are examples of things that can cause visceral pain? Intestine, biliary tree, liver disease What are examples of things that can cause parietal pain? Appendicitis, peritonitis What are examples of things that can cause referred pain? Cholecystitis What are examples of things that can cause colicky pain? Renal stones What is the order in which you should perform an abdominal physical exam? 1. inspection 2. auscultation 3. percussion 4. palpation What diagnosis would you consider for a 30 year old with heart burn, early satiety, burping and generalized abdominal pain? Dyspepsia related to gastritis What diagnosis would you consider for a 50 YEAR OLD SMOKER with heart burn and abdominal pain? Colon cancer How high is the bilirubin level when the patient is starting to develop physical jaundice? 2.5 or higher ______________ bilirubin is unconjugated, which means that it has not been metabolized by the liver or made into a water soluble form of bilirubin Indirect bilirubin ________________ is processed bilirubin that is water solubleDirect bilirubin What are some of the causes of elevated indirect bilirubin levels? - hemolysis - heart failure - Gilbert syndrome - neonates - hyperthyroidism - chronic hepatitis & advanced liver cirrhosis What are some of the causes of elevated direct bilirubin levels? - choledocholithiasis - tumors - AIDS - acute/chronic pancreatitis - viral hepatitis - alcoholic hepaitits - biliary tree cholangitis - sepsis - TPN - postoperative cholestasis - sickle cell disease - pregnancy - end stage liver disease What does a history of fever, chills and RUQ pain indicate? Acute cholangitis