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5.0
MARYVILLE AHA NURS 612 EXAM 3 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
HPI questions for chief complaint of abdominal issue
Ans: ○Abdominal pain-OLDCARTS
○When did the pain start?
○Where is the pain in your stomach?
○Does the pain radiate to other locations?
○Have experience nausea/vomiting, indigestion or increase in belching.
○What medications have you used to treat your symptoms?
○Have you had any diarrhea or constipation?
○Do you have to use laxative frequently?
○What is your regular dietary habits?
inspection of abdomen
Ans: -Abdominal contour
-Symmetry
-Umbilicus
-Skin Color
-Vascularity
-Scars
-Striae
-Lesions or rashes
-Abdominal movement when breathing
-Aortic pulsation
-Have patient raise head while laying down and look for masses hernia or
muscle separation
Sunday, 02 March 2025
,Abdominal assessment order
Ans: inspection, auscultation, percussion, palpation
Always auscultate prior to percussion and palpation as it can change sound.
Abdomen Auscultation
Ans: Bowel sounds in all four quadrants- note frequency and character
listen for friction rubs over liver and spleen
listen for bruits over the aortic, renal, illiac and femoral arteries
listen for venous hum around epigastric area above the belly button
Abdominal findings abdomen
Ans: ○Bruits- A swishing sound heard over the aortic, renal iliac, and femoral
arteries, indicating narrowing or aneurysm.
○Pop/Tinkles- High pitch sound suggesting intestinal fluid and air under
pressure, as in early obstruction.
○Rushes- Rushes of high-pitched sounds that coincide with cramping
suggests intestinal obstruction.
○Borborygmi- Increased prolonged gurgles occur with gastroenteritis, early
intestinal obstruction, and hunger.
○Rubs- Grating sounds that vary with respiration. Indicate inflammation of the
peritoneal surface of an organ from tumor, infection, or splenic infarct.
Examstudy - Stuvia US
, ○Venous Hum- A soft humming noise often heard in hepatic cirrhosis that is
caused by increased collateral circulation between portal and systemic
venous system.
○Succussion splash- A splashing noise produced by shaking the body when
there is both gas and fluid in a cavity or free air in the peritoneum or thorax.
○Decreased/absent bowel sounds- Occurs with peritonitis or paralytic ileus.
How to percuss to estimate the liver span
Ans: o First, determine the lower border of the liver by percussing up from an
area of tympany along the right midclavicular line. Mark the point where
tympany changes to dullness, which usually occurs at or slightly below the
costal margin.
o Second, determine the upper border of the liver by percussing down from
an area of resonance along the right midclavicular line. Mark the point
where resonance changes to dullness, which usually is in the fifth intercostal
space.
o Third, measure the distance between the marks. The vertical liver span
usually ranges from 6 to 12 cm.
Blumberg Sign
Ans: Rebound tenderness, RLQ, appendicitis, peritoneal irritation
Cullen sign
Examstudy - Stuvia US
In today's fast-paced educational landscape, students need reliable resources to excel in their studies.
5.0
MARYVILLE AHA NURS 612 EXAM 3 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
HPI questions for chief complaint of abdominal issue
Ans: ○Abdominal pain-OLDCARTS
○When did the pain start?
○Where is the pain in your stomach?
○Does the pain radiate to other locations?
○Have experience nausea/vomiting, indigestion or increase in belching.
○What medications have you used to treat your symptoms?
○Have you had any diarrhea or constipation?
○Do you have to use laxative frequently?
○What is your regular dietary habits?
inspection of abdomen
Ans: -Abdominal contour
-Symmetry
-Umbilicus
-Skin Color
-Vascularity
-Scars
-Striae
-Lesions or rashes
-Abdominal movement when breathing
-Aortic pulsation
-Have patient raise head while laying down and look for masses hernia or
muscle separation
Sunday, 02 March 2025
,Abdominal assessment order
Ans: inspection, auscultation, percussion, palpation
Always auscultate prior to percussion and palpation as it can change sound.
Abdomen Auscultation
Ans: Bowel sounds in all four quadrants- note frequency and character
listen for friction rubs over liver and spleen
listen for bruits over the aortic, renal, illiac and femoral arteries
listen for venous hum around epigastric area above the belly button
Abdominal findings abdomen
Ans: ○Bruits- A swishing sound heard over the aortic, renal iliac, and femoral
arteries, indicating narrowing or aneurysm.
○Pop/Tinkles- High pitch sound suggesting intestinal fluid and air under
pressure, as in early obstruction.
○Rushes- Rushes of high-pitched sounds that coincide with cramping
suggests intestinal obstruction.
○Borborygmi- Increased prolonged gurgles occur with gastroenteritis, early
intestinal obstruction, and hunger.
○Rubs- Grating sounds that vary with respiration. Indicate inflammation of the
peritoneal surface of an organ from tumor, infection, or splenic infarct.
Examstudy - Stuvia US
, ○Venous Hum- A soft humming noise often heard in hepatic cirrhosis that is
caused by increased collateral circulation between portal and systemic
venous system.
○Succussion splash- A splashing noise produced by shaking the body when
there is both gas and fluid in a cavity or free air in the peritoneum or thorax.
○Decreased/absent bowel sounds- Occurs with peritonitis or paralytic ileus.
How to percuss to estimate the liver span
Ans: o First, determine the lower border of the liver by percussing up from an
area of tympany along the right midclavicular line. Mark the point where
tympany changes to dullness, which usually occurs at or slightly below the
costal margin.
o Second, determine the upper border of the liver by percussing down from
an area of resonance along the right midclavicular line. Mark the point
where resonance changes to dullness, which usually is in the fifth intercostal
space.
o Third, measure the distance between the marks. The vertical liver span
usually ranges from 6 to 12 cm.
Blumberg Sign
Ans: Rebound tenderness, RLQ, appendicitis, peritoneal irritation
Cullen sign
Examstudy - Stuvia US
