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NURS 1160 Midterm 2 questions and answers.docx

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NURS 1160 Midterm 2 questions and

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NURS 1160 Midterm 2 questions and answers.docx




organs found in the abdominal cavity - (ANSWER)lower GI tract, liver, stomach, uterus, ovaries, kidney,
bladder



boundaries of the abdominal assessment - (ANSWER)xiphoid process to symphysis pubis



Costoverebral angle - (ANSWER)formed by the last rib and vertebral column and is the landmark used
during kidney and liver palpation



abdominal splinting - (ANSWER)lying with knees drawn up or moving restlessly in bed due to abdominal
pain



unexpected findings of skin - (ANSWER)generalized colour changes, glistening, taut appearance



unexpected findings of umbilicus - (ANSWER)protruding mass, displacement, distention, hernias



flat abdomen - (ANSWER)horizontal from xiphoid process to symphysis pubis



concave abdomen - (ANSWER)sinking abdomen into the muscular wall



round abdomen - (ANSWER)protruding abdomen



distention of abdomen can be due too - (ANSWER)gas, tumor, fluid



unexpected findings of organs/masses - (ANSWER)bulging of organs while holding breath, wall masses,
hernias, muscular separation



abdomen guarding - (ANSWER)diminished respiratory movement and tightens abdominal muscles to
guard from pain

,NURS 1160 Midterm 2 questions and answers.docx




order of assessment for abdomen - (ANSWER)inspection, auscultation, percussion, palpation



Peristalsis - (ANSWER)Involuntary waves of muscle contraction that keep food moving along in one
direction through the digestive system.



bowel sounds - (ANSWER)Abdominal sounds caused by the products of digestion as they move through
the lower gastrointestinal tract, usually heard on auscultation.



how many bowel sounds per minute - (ANSWER)5-35x/minute



lack/absence of bowel sounds can be due to - (ANSWER)late-stage bowel obstruction, paralytic ileus,
peritonitis



borborygmi - (ANSWER)hyperactive bowel sounds that are loud and growling



presence of bruits indicate - (ANSWER)aneurysms or stenotic vessels



assess for what during abdominal palpation - (ANSWER)muscular resistance, distention, tenderness,
superficial organ/masses



expected findings upon abdominal palpation - (ANSWER)smooth, consistent softness and not tender, no
masses



unexpected findings upon abdominal palpation - (ANSWER)abdominal guarding, tightening remains
after patient relaxes



depth of abdominal palpation - (ANSWER)2.5-7.5cm



aortic pulsation - (ANSWER)palpate with thumb and forefinger

, NURS 1160 Midterm 2 questions and answers.docx




female genitalia inspection position - (ANSWER)lithotomy position



labia majora atrophied - (ANSWER)reduced in size without inflammation, lesions, edema, or lacerations



syphilitec lesions - (ANSWER)drains serous material



position of male genitalia inspection - (ANSWER)supine



Tanners Stage 1 - (ANSWER)penis and scrotum show no change and no evidence of pubic hair



Tanners Stage 2 - (ANSWER)testes increase in size, no pubic hair



Tanners Stage 3 - (ANSWER)scrotal hair becomes coarse and dark and penis begins to enlarge



Tanners Stage 4 - (ANSWER)glans penis matures and scrotum darkens



Tanners Stage 5 - (ANSWER)test and penis enlarge to adult size and shape, scrotum darkens and
becomes wrinkled, penis has no hair, scrotum has little hair



The most common sign of testicular cancer is - (ANSWER)painless enlargement of one testis, appearance
of palpable, small, hard, pea sized painless lump in front or side of testis



Hemmroids - (ANSWER)dilated veins that appear as reddened protrusions



abnormal findings of gait - (ANSWER)kyphosis, lordosis, scoliosis, osteoporosis, gross deformities, bony
enlargement



passive ROM - (ANSWER)Range of Motion in which the resident is unable to assist with movement

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