NR 304-Chamberlain University-Illinois Exam 1 || All Solved.
Where do you find tympani? correct answers All 4 quadrants, normal
Where do you find dullness? correct answers RUQ-high under costal margin-liver
Where do you find resonance? correct answers lungs
How do you percuss liver span? correct answers Hold breath or let out all breath - (liver moves)
and percuss downward at L Mid clavicular line - area of dullness Is measured - 5-10 cm (women
smaller than men)
How do you percuss spleen? correct answers Percuss at Left Mid-axillary line. Percuss down to
dullness, and then up to dullness measuring span.
How are the fluid wave and shifting dullness tests performed? What do they indicate? correct
answers Fluid wave - push on one side of patient's abdomen - with patient supine - put patient
hand in middle and feel wave (if there is fluid) on other side of abdomen.. if not fluid but fat, the
patient hand will stop the "wave" - Shifting dullness - percuss as patient is supine from tympani
to dullness then have lay on side and do same. IF fluid, the fluid shifts and dullness shifts - both
indicate ascites = 3rd space or extracell. Spacing of fluid from VEINS and PROTEIN which
pulls more fluid from the veins = edema
What is purpose of light palpation? correct answers Light for superficial masses, muscle tone,
symmetry, pain
What is the purpose of deep palpation? correct answers Deep palpation for organomegaly
What is rebound tenderness? IF + = correct answers Done by pushing into abdomen and quickly
bringing hands up - the reflexive bounce causes peritoneal spasm - PAIN if inflamed =
+Blumbergs test
, What examination findings would you expect with each condition? Obesity correct answers -
Obesity - protruberant abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites correct answers +
fluid wave and shifting dullness and history of liver or cancer issue -
See LOW albumin in their blood levels - other edema?
What examination findings would you expect with each condition? Gaseous distention correct
answers tons of tympani with a distended abdomen - common with ileus where intestinal motility
stops/slows and gas-producing bacteria is hanging in one place of intestine.
What examination findings would you expect with each condition? tumor correct answers area of
organomegaly or mass palpable with deep palpation - dullness on percussion
What tests are done for a person with suspected appendicitis? correct answers Psoas - right leg
lift -
Obturator - bent R leg - ab and adducted
Rebound Tenderness- If ruptured
What tests are done for a person with suspected cholecystitis? correct answers Murphy -
palpation of gallbladder with the inhalation of breath - liver moves up - fingers touch gallbladder
- + liver function tests and ultrasound for stones
What are the symptoms of Crohns and Ulcerative colitis? correct answers Bloody, mucousy,
diarrhea, bloating, gas, urgency to have stool - abdominal pain - may have anal and rectal ulcers
Melena correct answers black tarry stools are sign of blood that HAS been digested by HCL acid
(stomach) or upper GI
Where do you find tympani? correct answers All 4 quadrants, normal
Where do you find dullness? correct answers RUQ-high under costal margin-liver
Where do you find resonance? correct answers lungs
How do you percuss liver span? correct answers Hold breath or let out all breath - (liver moves)
and percuss downward at L Mid clavicular line - area of dullness Is measured - 5-10 cm (women
smaller than men)
How do you percuss spleen? correct answers Percuss at Left Mid-axillary line. Percuss down to
dullness, and then up to dullness measuring span.
How are the fluid wave and shifting dullness tests performed? What do they indicate? correct
answers Fluid wave - push on one side of patient's abdomen - with patient supine - put patient
hand in middle and feel wave (if there is fluid) on other side of abdomen.. if not fluid but fat, the
patient hand will stop the "wave" - Shifting dullness - percuss as patient is supine from tympani
to dullness then have lay on side and do same. IF fluid, the fluid shifts and dullness shifts - both
indicate ascites = 3rd space or extracell. Spacing of fluid from VEINS and PROTEIN which
pulls more fluid from the veins = edema
What is purpose of light palpation? correct answers Light for superficial masses, muscle tone,
symmetry, pain
What is the purpose of deep palpation? correct answers Deep palpation for organomegaly
What is rebound tenderness? IF + = correct answers Done by pushing into abdomen and quickly
bringing hands up - the reflexive bounce causes peritoneal spasm - PAIN if inflamed =
+Blumbergs test
, What examination findings would you expect with each condition? Obesity correct answers -
Obesity - protruberant abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites correct answers +
fluid wave and shifting dullness and history of liver or cancer issue -
See LOW albumin in their blood levels - other edema?
What examination findings would you expect with each condition? Gaseous distention correct
answers tons of tympani with a distended abdomen - common with ileus where intestinal motility
stops/slows and gas-producing bacteria is hanging in one place of intestine.
What examination findings would you expect with each condition? tumor correct answers area of
organomegaly or mass palpable with deep palpation - dullness on percussion
What tests are done for a person with suspected appendicitis? correct answers Psoas - right leg
lift -
Obturator - bent R leg - ab and adducted
Rebound Tenderness- If ruptured
What tests are done for a person with suspected cholecystitis? correct answers Murphy -
palpation of gallbladder with the inhalation of breath - liver moves up - fingers touch gallbladder
- + liver function tests and ultrasound for stones
What are the symptoms of Crohns and Ulcerative colitis? correct answers Bloody, mucousy,
diarrhea, bloating, gas, urgency to have stool - abdominal pain - may have anal and rectal ulcers
Melena correct answers black tarry stools are sign of blood that HAS been digested by HCL acid
(stomach) or upper GI
