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NURS 612 EXAM 4 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
Quiz: HPI questions for abdominal issues
Ans: 1. Where is the pain located?
2. Do you have diarrhea?
3. Can you describe the characteristics of your bowel movements?
4. Have you been taking NSAIDs?
5. Do antacids help?
Quiz: Abdomen inspection
Ans: surface, contour, movement
Quiz: abdomen auscultation- friction rubs
Ans: high in pitch- indicate inflammation, infection, tumor or infarct
Quiz: abdomen auscultation venous hums
Ans: soft, low pitch, continuous- indicate increased collateral circulation
between portal and systemic venous system
Quiz: abdomen auscultation- bruits
Ans: harsh musical sound- indicates blood flow turbulence and vascular
disease
,Quiz: Why auscultate before palpation & percussion?
Ans: percussion and palpation can stimulate bowel activity, creating false
bowel sounds
Quiz: light abdominal palpation
Ans: looking for muscle resistance, tenderness and large masses
Quiz: moderate abdominal palpation
Ans: used to palpate liver and spleen on inspiration
Quiz: deep abdominal palpation
Ans: looking for masses and tenderness
Quiz: percussion of abdomen
Ans: - percuss lightly on all 4 quadrants
- tympany should dominate b/c air rises to GI surface when pt is supine
*dullness occurs over a distended bladder, adipose tissue, fluid, or a mass
*hyperresonance is present with gastric distention
Quiz: liver and spleen palpation
Ans: liver should be firm, smooth, nontender and without nodules
spleen should not be palpable (unless enlarged)
Quiz: kidney palpation
Examstudy - Stuvia US
, Ans: right is more easily palpable, it is round, smooth and firm. left is not
palpable
Quiz: ascites
Ans: inspection- glistening, taut appearance with striae, protuberant
abdomen, bulging flanks
percussion- dullness that shifts when turned onto side
palpation- fluid wave (have pt hold arm against abdomen, place hands on
both sides of abdomen, strike one side and feel for fluid wave)
Quiz: What does ascites indicate?
Ans: increased fluid in the peritoneal cavity (caused by liver failure,
advanced CHF)
Quiz: Psoas test
Ans: raise R thigh against resistance (appendicitis)
Quiz: obturator test
Ans: bend right knee, laterally and medially rotate. pain = pelvic abscess
or ruptured appendix
Quiz: aaron test
Ans: abdominal or chest pain while palpating mcburney's point
Quiz: Ballottement of abdomen
Examstudy - Stuvia US