Questions and CORRECT Answers
costovertebral angle - CORRECT ANSWER angle formed by the 12th rib and the
vertebral column on the posterior thorax, overlying the kidney
costovertebral angle tenderness - CORRECT ANSWER indirect fist percussion causes
tissues to vibrate instead of producing a sound
To assess kidney, place one hand over 12th rib at costovertebral angle on back
Thump that hand with ulnar edge of your other fist
Person normally feels thud but no pain
Its usual sequence in complete examination is with thoracic assessment, when person is sitting
up and you are standing behind
costovertebral angle tenderness causes - CORRECT ANSWER kidney infection,
musculoskeletal problem, inflammation
flank pain, malaise, fever - CORRECT ANSWER CVA likely to be tender
do not palpate which organ due to possibility of rupture - CORRECT ANSWER spleen
ascites - CORRECT ANSWER fluid-filled abdomen, protuberant
black, tarry stool - CORRECT ANSWER melena, upper GI bleed
how long do you listen for absent bowel sounds - CORRECT ANSWER 5 minutes
bowel sounds should be heard in ____; where is it recommended to start - CORRECT
ANSWER all 4 quadrants, RLQ
, hypoactive bowel sounds - CORRECT ANSWER soft, LOW-PITCHED; less than 5/min
hyperactive bowel sounds - CORRECT ANSWER every 2-3 seconds; HIGH-PITCHED;
loud, rushing, tinkling
bowel sounds abdominal surgery post-op - CORRECT ANSWER hypoactive
solid/dense organs sound - CORRECT ANSWER dull
hollow/air-filled organs sound - CORRECT ANSWER tympany
solid or hollow viscera: liver - CORRECT ANSWER solid
solid or hollow viscera: pancreas - CORRECT ANSWER solid
solid or hollow viscera: spleen - CORRECT ANSWER solid
solid or hollow viscera: bladder - CORRECT ANSWER hollow
solid or hollow viscera: adrenal gland - CORRECT ANSWER solid
solid or hollow viscera: colon - CORRECT ANSWER hollow
solid or hollow viscera: small intestine - CORRECT ANSWER hollow
solid or hollow viscera: kidneys - CORRECT ANSWER solid