NR 304 Health Assessment II GRADED TEST PV and Abdomen EXAM 2023 ATESTED

Tympany sound correct answers stomach in infants normal sound in all 4 abdomen quadrants Dullness percussion sound correct answers thud-like sound liver (RUQ- costal margin) distended bladder spleen adipose tissue fluid mass lungs Normal liver span correct answers normal= 6-12 cm males- 10.5 cm female= 7 cm Normal spleen size correct answers <7cm Hooking technique correct answers alternative method to palpate the liver. Stand at persons should and face the feet. Hook fingers over the costal margin from above. Ask patient to take a deep breath. Try to feel the liver edge bump your fingertups. Fluid wave correct answers Test performed to indicate ascites. Stand on the persons right side. Place the ulnar edge of the patient hand firmly on the midline. Place left hand on persons right flank. W/ right hand rahch across the abs and gives left flank a firm strike. If ascites is present it will generate a fluid wave through the abs and will feel a distinct tap w/ left hand shifting dullness correct answers In a supine position the ascetic fluid settles by gravity into the flanks. You will hear tympany as you percuss over the top of the abdomen because gas-filled intestines float over the fluid. Percuss down the side of the abdomen. If fluid is present, the note will change from tympany to dull. Mark the spot of note change. Light palpation correct answers feeling for superficial organs and tumors, muscle tone, symmetry, pain. Rotate in circular motion clockwise, 1-2 cm deep. Deep palpation correct answers same technique as light palpation. 5-8 cm deep. Feeling for deep organs, organomegaly Blumberg sign (rebound tenderness) correct answers Assess when the person reports abdominal pain or when you elicit tenderness during palpation. Palpate away from painful area. Hold hand at 90 degrees or perpendicular to the abs. Push down slowly and deeply then lift up quickly. Negative blumberg sign correct answers no pain on release of pressure in rebound tenderness test Positive Blumberg sign correct answers pain which is a result of peritoneal irritation accompanied by appendicitis.