Nurs 160 - EXAM 3 latest 2024 with 100% verified solutions| Already Passed

Nurs 160 - EXAM 3 latest 2024 with 100% verified solutions| Already Passed Proper order of techniques for abdominal assessment is - 1)inspection, 2) auscultation, 3) percussion, and 4) palpation. Abdominal assessment - performed in this order as percussion and palpation can increase peristalsis, which can give a false interpretation of bowel sounds. tympanic sounds are heard over - hollow organs such as the stomach and intestines while dull notes are heard - over solid organs such as the liver, kidneys and a full bladder. Normally, the spleen is - not palpable and must be enlarged 3 times its normal size to be felt. The spleen may be enlarged due to - mononucleosis, trauma, leukemia and lymphomas, portal hypertension and HIV infection If you feel an enlarged spleen - refer the person for further evaluation, but do not continue to palpate it. An enlarged spleen is friable and can rupture easily with over-palpation. Sharp pain over the CVA (costovertebral angle) is often indicative of - of kidney inflammation/swelling/enlargement To assess this area - -place one hand over the 12th rib at the costovertebral angle on the back. - Thump that hand with the ulnar edge of your other fist. Normally there will be no pain. Appendicitis often presents with pain - in the right lower quadrant of the abdomen, which can be spontaneous or elicited with light palpation of the RLQ The tenderness occurs with local inflammation - inflammation of the peritoneum or underlying organ, and with an enlarged organ whose capsule is stretched. When a patient reports abdominal pain, be sure to assess the tender area last. When administering multiple medications via NG tube - - NG tube placement must be confirmed. - Each medication should be administered separately with a 30 cc flush of water immediately after each medication. Extended release medications are designed to - release medication over a period of time and should not be crushed. Enteric coated medications are meant to - dissolve beyond the stomach. -Crushing these medications will destroy the coating and may cause stomach upset. When administering an enema to a client - - reports of abdominal cramping during administration are not uncommon. - To ease this, lower the bag to slow the administration to help relieve the discomfort and continue with the enema administration. Infants experiencing pyloric stenosis will have an - - olive shaped palpable mass in the RUQ of the abdomen, and experience projectile vomiting after feedings. - They often will exhibit extreme hunger as they cannot retain feedings. Normal bowel sounds are - - high pitched, gurgling, cascading sounds, occurring irregularly between 5-30 timers per minute. - A perfectly "silent abdomen" is uncommon. - You must listen for a full 5 minutes before deciding whether bowel sounds are completely absent. Native Americans are almost - 100% lactose intolerant as a cultural group The frequent use of prescription or OTC NSAIDS - common cause of peptic ulcer disease. The guaiac stool test tests - resence of blood in the stool. The musculoskeletal assessment should be performed from proximal to distal. - - A screening musculoskeletal exam is sufficient for most clients. - A complete musculoskeletal