NURS 330 Exam 2 – Questions With Objective
Solutions
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Practice questions for this set
Learn 1 /7 Study with Learn
- Clean Cath. daily with soap & water
- Keep area around clean & dry
Watch out for CAUTI
Choose an answer
1 Organs found in the LUQ 2 Epigastric Hernia
3 Catheter Care 4 Organs of the Abdominal Midline
Don't know?
Terms in this set (154)
, - Stomach
- Spleen
- Left lobe of liver
Organs found in the LUQ
- Body of pancreas
- LT kidney and adrenal gland
- Part of colon
- Liver
- Gallbladder
Organs found in the RUQ - Head of pancreas
- RT kidney and adrenal gland
- Part of colon
- Part of descending colon
- Sigmoid colon
Organs found in the LLQ - LT ovary and tube
- LT ureter
- LT spermatic cord
- Cecum
- Appendix
Organs Found in the RLQ - RT ovary and tube
- RT ureter
- RT spermatic cord
- Aorta
Organs of the Abdominal
- Uterus
Midline
- Bladder
- Right Hypochondriac,
Epigastric, Left Hypochondriac
Regions of the abdomen - Right Lumbar, Umbilical, Left
(top to bottom, right -> left) Lumbar
- Right Inguinal, Hypogastric, Left
Inguinal
- Type 1 : Separate, hard lumps
- Type 2 : Solid, lumpy
- Type 3 : Solid, smooth with
cracks
Stool Types
- Type 4 : Soft, snake-like
- Type 5 : Soft blobs, clear edges
- Type 6 : Mushy, fluffy pieces
- Type 7 : Watery, no solid pieces
, 1. Lay Pt in supine (legs should be bent/on pillow and
head on a pillow)
Steps for Abdominal
2. Inspect (visual signs)
Assessment
3. Auscultate (stethoscope should be warmed)
4. Palpate (hands should be warm)
What Quadrant should you RLQ b/c it has the best/most BS
Auscultate first?
- Skin : Should be smooth, dry, homogenous color
* Common : Striae (silvery white, stretch marks)
* Note scars and color change
Abdominal Inspection - - Symmetry : Should be symmetric w/o bulges/masses
What to observe for? * Look for Hernias
- Pulsation or Movement
* You may see slight pulsation from aorta
* May see peristalsis in very thin people
Protrusion of abdominal viscera through abnormal
Hernias
opening in muscle wall
- Describes nutritional state of
the Pt
- Flat to Rounded is within normal
Abdominal Shapes & Range
Contour Abnormal Findings:
* Scaphoid - Caved in abdomen
* Protuberant - Abdomen
distended, stretched
Protrusion of abdominal structures. May be easier to
Epigastric Hernia
feel than see
Incisional Hernia A bulge near an old operative scar
Normal Abdominal High-pitched, gurgling, cascading sounds, occurring
Auscultation Findings irregularly anywhere from 5-30 sounds per minute.
- Normoactive
- Hyperactive
Types of Bowel Sounds
- Hypoactive
- Absent
High-pitched, gurgling, cascading sounds, occurring
Normoactive BS irregularly anywhere from 5-30 sounds per minute.
Considered as "Normal BS"
Solutions
Save
Practice questions for this set
Learn 1 /7 Study with Learn
- Clean Cath. daily with soap & water
- Keep area around clean & dry
Watch out for CAUTI
Choose an answer
1 Organs found in the LUQ 2 Epigastric Hernia
3 Catheter Care 4 Organs of the Abdominal Midline
Don't know?
Terms in this set (154)
, - Stomach
- Spleen
- Left lobe of liver
Organs found in the LUQ
- Body of pancreas
- LT kidney and adrenal gland
- Part of colon
- Liver
- Gallbladder
Organs found in the RUQ - Head of pancreas
- RT kidney and adrenal gland
- Part of colon
- Part of descending colon
- Sigmoid colon
Organs found in the LLQ - LT ovary and tube
- LT ureter
- LT spermatic cord
- Cecum
- Appendix
Organs Found in the RLQ - RT ovary and tube
- RT ureter
- RT spermatic cord
- Aorta
Organs of the Abdominal
- Uterus
Midline
- Bladder
- Right Hypochondriac,
Epigastric, Left Hypochondriac
Regions of the abdomen - Right Lumbar, Umbilical, Left
(top to bottom, right -> left) Lumbar
- Right Inguinal, Hypogastric, Left
Inguinal
- Type 1 : Separate, hard lumps
- Type 2 : Solid, lumpy
- Type 3 : Solid, smooth with
cracks
Stool Types
- Type 4 : Soft, snake-like
- Type 5 : Soft blobs, clear edges
- Type 6 : Mushy, fluffy pieces
- Type 7 : Watery, no solid pieces
, 1. Lay Pt in supine (legs should be bent/on pillow and
head on a pillow)
Steps for Abdominal
2. Inspect (visual signs)
Assessment
3. Auscultate (stethoscope should be warmed)
4. Palpate (hands should be warm)
What Quadrant should you RLQ b/c it has the best/most BS
Auscultate first?
- Skin : Should be smooth, dry, homogenous color
* Common : Striae (silvery white, stretch marks)
* Note scars and color change
Abdominal Inspection - - Symmetry : Should be symmetric w/o bulges/masses
What to observe for? * Look for Hernias
- Pulsation or Movement
* You may see slight pulsation from aorta
* May see peristalsis in very thin people
Protrusion of abdominal viscera through abnormal
Hernias
opening in muscle wall
- Describes nutritional state of
the Pt
- Flat to Rounded is within normal
Abdominal Shapes & Range
Contour Abnormal Findings:
* Scaphoid - Caved in abdomen
* Protuberant - Abdomen
distended, stretched
Protrusion of abdominal structures. May be easier to
Epigastric Hernia
feel than see
Incisional Hernia A bulge near an old operative scar
Normal Abdominal High-pitched, gurgling, cascading sounds, occurring
Auscultation Findings irregularly anywhere from 5-30 sounds per minute.
- Normoactive
- Hyperactive
Types of Bowel Sounds
- Hypoactive
- Absent
High-pitched, gurgling, cascading sounds, occurring
Normoactive BS irregularly anywhere from 5-30 sounds per minute.
Considered as "Normal BS"