NU 216-Abdomen Exam Questions With Correct Answers

NU 216-Abdomen Exam Questions With Correct Answers referred pain of the gallbladder - CORRECT ANSWER- right scapula chole prefix - CORRECT ANSWER- gallbladder referred pain of kidney stone - CORRECT ANSWER- groin referred pain of liver - CORRECT ANSWER- right shoulder referred pain of appendix - CORRECT ANSWER- starts at umbilicus & moves to RLQ Referred pain of pancreas - CORRECT ANSWER- left shoulder and lower back Sequence for assessing the abdomen - CORRECT ANSWER- 1. Inspection 2. Auscultation 3. Percussion 4. Palpation considerations for inspecting abdomen - CORRECT ANSWER- contour symmetry umbilicus skin -lesions, moles, piercing, scar pulsation/movement hair demeanor -guarding, wincing Contours of the abdomen - CORRECT ANSWER- Flat Scaphoid -concave -seen in pts with malnutrition Rounded Protuberant -convex -ascites, pregnancy normla bowel sounds - CORRECT ANSWER- gurgling, high pitched irregular 5-30 / min borborygmus - CORRECT ANSWER- the rumbling noise caused by the movement of gas in the intestine -extreme amount of bowel sounds hypoactive bowel sounds - CORRECT ANSWER- less than 5 /minute hyperactive bowel sounds - CORRECT ANSWER- more than 30/ minute vascular bowel sounds location - CORRECT ANSWER- aorta left/right renal artery left/right iliac artery left/right femoral artery looks for presence of bruits how do you listen for bruits? - CORRECT ANSWER- with bell of stethoscope general tympany - CORRECT ANSWER- Percuss in all 4 quadrants to determine the prevailing amount of tympany and dullness Move clockwise: RLQ, RUQ, LUQ, LLQ what should be heard when percussing organs - CORRECT ANSWER- dullness splenic dullness - CORRECT ANSWER- Percuss the lowest costal interspace in the left anterior axillary line. This area is normally tympanic Ask pt to take deep breath and percuss area again. Dullness in this area is sign of splenic enlargement costovertebral angle tenderness - CORRECT ANSWER- Tenderness to percussion over the costovertebral angle; a common finding in infections of the kidney Percuss pts back and observe for any pain Liver Span Percussion - CORRECT ANSWER- - 6-10cm is normal percuss downward from the chest in the right midclavicular line until you detect top edge of liver dullness percuss upward from the abdomen in the same line until you detect the bottom edge of liver dullness measure liver span between these two points fluid wave - CORRECT ANSWER- A sign of free fluid in the abdominal cavity; tapping on one side of the abdomen transmits a wave that is felt on the opposite side tells if patient has ascites or extra fat normal abdomen should feel - CORRECT ANSWER- soft and nontender one handed palpation - CORRECT ANSWER- for light bimanual palpation - CORRECT ANSWER- for deep Rebound Tenderness (Blumberg Sign) - CORRECT ANSWER- Press on abdomen and take hand off fast If they feel pain when you take your hand off, that's a sign of peritonitis Start away from painful side and work towards it Inspiratory Arrest (Murphy's Sign) - CORRECT ANSWER- Normally, palpating the liver causes no pain. In a person with inflammation of the gallbladder (cholecystitis), pain occurs. Hold your fingers under the liver border. Ask the person to take a deep bre