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NUR 216 Exam 4 – Questions With Verified Solutions

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NUR 216 Exam 4 – Questions With Verified Solutions

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NUR 216 Exam 4 – Questions With Verified Solutions

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Terms in this set (96)



What is the purpose of assessing the To gather subjective and objective data about the client's
abdomen? abdominal health.


What is typhany and where is it heard? A high-pitched, musical sound heard over the abdomen due
to air in the stomach and intestines.


What is dullness and where is it heard? A flat, dull sound heard over the liver and spleen.


What is accentuated typhany or A loud, booming sound heard over a gaseous distended
hyperresonance and where is it heard? abdomen.


What are normal findings of the abdomen? A soft and non-tender abdomen.


What are some abnormal findings of the Absent bowel sounds, ascites, hyperresonance, tympany,
abdomen? hepatomegaly, splenomegaly, Cullen sign.


What is the significance of absent bowel It is associated with peritonitis, which can occur with a
sounds? ruptured appendix.


What is the positive fluid wave test and Ascites.
shifting dullness indicative of?


What is hyperresonance and when is it A lower pitched booming sound heard when there is too
heard? much air, such as gaseous distention of intestines in the
abdomen.


What is tympany and where is it heard? A drum-like sound heard over air-filled organs like the
stomach or intestines.


What is hepatomegaly and splenomegaly? Enlarged liver and enlarged spleen


What does Cullen sign indicate? Intra-abdominal bleeding.


What is the order of assessment for the Inspect, auscultate, palpate.
abdomen?

, Where is the liver located? In the right upper quadrant of the abdomen.




What sound is expected when percussing A dull percussion note and a dull sound.
the liver?


What is the location of kidney inflammation? Sharp pain along the costovertebral angles.


Where is the appendix located? In the right lower quadrant of the abdomen.


What is the significance of dullness across It is found when percussing a patient with a large amount of
the abdomen? ascites.


Where is the spleen located? In the left upper quadrant of the abdomen.


Where is the gallbladder located? In the right upper quadrant of the abdomen.


Where is the sigmoid colon located? In the left lower quadrant of the abdomen.


What should be done if the client's bladder Begin palpating at the symphysis pubis.
is distended?


What is the recommended order of Inspect, auscultate, percuss, and palpate.
assessment for the abdomen?


Why is auscultation done before percussion To prevent distortion of bowel sounds that might occur after
and palpation? percussion and palpation.


What is a typamnic percussion note? A percussion note in the umbilical region.


What is the purpose of the Murphy sign To assess for inflammation of the gallbladder or cholecystitis.
test?


What is the finding in the Murphy sign test The pain stops midway during inspiration.
that indicates inflammation of the
gallbladder?


What is the purpose of the fluid wave and To assess for ascites.
shifting dullness test?


What is the purpose of the Blumberg sign To assess for rebound tenderness.
test?


What is the purpose of the iliopsoas muscle To assess for appendicitis.
test?


What does the observation of abdominal Normal abdominal aortic pulsations.
pulsations between the xiphoid process and
umbilicus indicate?


What is a possible finding of peritonitis? Hypoactive bowel sounds.


What can cause hyperactive bowel sounds? Diarrhea, laxative use, and gastroenteritis.

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