NURS 190 Physical Assessment Quiz 5 Review.

NURS 190 Physical Assessment Quiz 5 Review QUIZ 5 Review: • Different types of hepatitis including transmission (A,B,C)- who is at greatest risk (p 572) • Hepatits A- enteric routes (fece and oral routes) • Hep B- transmitted parenterally, sexually, or perinatally • Hep C- via blood, unknown factors • Know oliguria, hematouria, noctorua all of them • Oliguria- diminished volume of urine • how to assess for ascites including shifting dullness and Also contour (normal/abnormal abdomen contour) • Patient in supine position: percuss at the midline to elicit tympany • Continue to percuss in lateral direction away from the midline & listen for dullness. • Mark the skin, identifying possible levels of fluid. • Shifting dullness: position patient on the right or left side. Percuss the abdomen. • Because fluid settles, anticipate tympany at superior level and dullness at lower levels. • Suspect ascites: weigh pt. & measure abdominal girth with a tape measure. • how to assess for bowel sounds, where do you start, how to auscultate, why you start there first? if you don't hear it what do you do? • Start at LRQ using DIAPHRAGM • Note character and frequency of the sound • 60 seconds • If vascular sounds listen with a Bell • If no sounds, listen for full 5 min at each quadrant • Normal: irregular, gurgling, high-pitch • Occur from 5 to 320 times per minute • know UTI: • Bladder most common site but may include kidneys • Common with catheter use for urinary retention or incontinence Bacteria causes UTI, bladder is most common site of infection, more common w/catheter, patients may be ASYMPTOMATIC. Subjective: increased urinary urgency, dysuria, suprapubic or lower back pain 1Objective: Increased urinary frequency, hematuria, cloudy, foul-smelling urine