NR 304-Exam 1 Questions with 100% Correct Answer

Where do you find tympani? Correct Answer All 4 quadrants, normal Where do you find dullness? Correct Answer RUQ-high under costal margin-liver Where do you find resonance? Correct Answer lungs How do you percuss liver span? Correct Answer Hold breath or let out all breath - (liver moves) and percuss downward at L Mid clavicular line - area of dullness Is measured - 5-10 cm (women smaller than men) How do you percuss spleen? Correct Answer Percuss at Left Mid-axillary line. Percuss down to dullness, and then up to dullness measuring span. How are the fluid wave and shifting dullness tests performed? What do they indicate? Correct Answer Fluid wave - push on one side of patient's abdomen - with patient supine - put patient hand in middle and feel wave (if there is fluid) on other side of abdomen.. if not fluid but fat, the patient hand will stop the "wave" - Shifting dullness - percuss as patient is supine from tympani to dullness then have lay on side and do same. IF fluid, the fluid shifts and dullness shifts - both indicate ascites = 3rd space or extracell. Spacing of fluid from VEINS and PROTEIN which pulls more fluid from the veins = edema What is purpose of light palpation? Correct Answer Light for superficial masses, muscle tone, symmetry, pain What is the purpose of deep palpation? Correct Answer Deep palpation for organomegaly What is rebound tenderness? IF + = Correct Answer Done by pushing into abdomen and quickly bringing hands up - the reflexive bounce causes peritoneal spasm - PAIN if inflamed = +Blumbergs test What examination findings would you expect with each condition? Obesity Correct Answer -Obesity - protruberant abdomen with negative fluid wave- probable striae What examination findings would you expect with each condition? Ascites Correct Answer + fluid wave and shifting dullness and history of liver or cancer issue - See LOW albumin in their blood levels - other edema? What examination findings would you expect with each condition? Gaseous distention Correct Answer tons of tympani with a distended abdomen - common with ileus where