Exam 3 (Weeks 9 - 12): NU650 / NU
650 (Latest Update )
Advanced Health Assessment /
Nursing | Questions and Answers |
100% Correct | Grade A - Regis
Question:
history, assessment findings, and diagnostic tools associated with
cholecystitis?
Answer:
history/risks - more common in adult females. colicky pain that progresses to
constant in the RUQ which can radiate to the shoulder/scapular area. may
have N/V, dark or light stools.
assessment findings - RUQ tenderness with percussion/palpation. gallbladder
MAY be palpable. Positive murphy’s sign.
diagnostic tests - CBC with diff., ultrasound, x-ray, serum amylase and lipase
,Question:
Abdominal quadrants and organs
Answer:
RUQ - liver, gallbladder, head of pancreas, hepatic flexure of colon (think
diverticulitis, gallbladder issues)
LUQ - stomach, spleen, body of pancreas, transverse and part of descending
colon
RLQ - appendix, right ovary/fallopian tube, ascending colon
LLQ - descending and sigmoid colon, left ovary/uterine tube
Question:
What questions should be included in the HPI for abdominal concerns?
Answer:
is pain acute or chronic?
is there indigestion, regurgitation, nausea, vomiting, hematemesis?
Dysphagia or odynophagia (painful swallowing)?
changes in bowels, constipation, diarrhea, melena?
Urinary questions:
suprapubic pain, flank pain?
,dysuria, urgency, frequency, incontinence, polyuria, nocturia?
Hesitancy, hematuria?
Question:
What is visceral pain?
Answer:
pain when hollow organs are stretched or distended (i.e., intestine, billiary
tract)
May be difficult to localize
described as burning, cramping, aching
Question:
What is Somatic pain?
Answer:
pain from inflammation of parietal peritoneum
described as steady, aching, severe
more precisely localized
, Question:
What is referred pain?
Answer:
pain at distant sites innervated at approx. the same spinal level as the affected
structure
ex: pain from the chest, spine, or pelvis may be referred to the abdomen
Question:
What are health maintenance practices for hepatitis?
Answer:
Hepatitis A Vaccination - all children at age 1; individuals with chronic liver
disease; groups at risk (travelers, gay men, IV drug users, people with clotting
disorders)
Hepatitis B Vaccination - all adults in high risk settings (STI clinics, HIV
testing, correctional facilities, gay men, hemodialysis), people with exposure
to blood (IV drug users, health care workers), sex workers.
Hepatitis C - no vaccine
650 (Latest Update )
Advanced Health Assessment /
Nursing | Questions and Answers |
100% Correct | Grade A - Regis
Question:
history, assessment findings, and diagnostic tools associated with
cholecystitis?
Answer:
history/risks - more common in adult females. colicky pain that progresses to
constant in the RUQ which can radiate to the shoulder/scapular area. may
have N/V, dark or light stools.
assessment findings - RUQ tenderness with percussion/palpation. gallbladder
MAY be palpable. Positive murphy’s sign.
diagnostic tests - CBC with diff., ultrasound, x-ray, serum amylase and lipase
,Question:
Abdominal quadrants and organs
Answer:
RUQ - liver, gallbladder, head of pancreas, hepatic flexure of colon (think
diverticulitis, gallbladder issues)
LUQ - stomach, spleen, body of pancreas, transverse and part of descending
colon
RLQ - appendix, right ovary/fallopian tube, ascending colon
LLQ - descending and sigmoid colon, left ovary/uterine tube
Question:
What questions should be included in the HPI for abdominal concerns?
Answer:
is pain acute or chronic?
is there indigestion, regurgitation, nausea, vomiting, hematemesis?
Dysphagia or odynophagia (painful swallowing)?
changes in bowels, constipation, diarrhea, melena?
Urinary questions:
suprapubic pain, flank pain?
,dysuria, urgency, frequency, incontinence, polyuria, nocturia?
Hesitancy, hematuria?
Question:
What is visceral pain?
Answer:
pain when hollow organs are stretched or distended (i.e., intestine, billiary
tract)
May be difficult to localize
described as burning, cramping, aching
Question:
What is Somatic pain?
Answer:
pain from inflammation of parietal peritoneum
described as steady, aching, severe
more precisely localized
, Question:
What is referred pain?
Answer:
pain at distant sites innervated at approx. the same spinal level as the affected
structure
ex: pain from the chest, spine, or pelvis may be referred to the abdomen
Question:
What are health maintenance practices for hepatitis?
Answer:
Hepatitis A Vaccination - all children at age 1; individuals with chronic liver
disease; groups at risk (travelers, gay men, IV drug users, people with clotting
disorders)
Hepatitis B Vaccination - all adults in high risk settings (STI clinics, HIV
testing, correctional facilities, gay men, hemodialysis), people with exposure
to blood (IV drug users, health care workers), sex workers.
Hepatitis C - no vaccine
