Nur 643E Advanced Health Assessment Final Exam.docx

NUR 643E ADVANCED HEALTH
ASSESSMENT FINAL EXAM

Whatooareootheoopartsooofootheoolargeoointestine?oo-ooans--Cecum
Asendingoocolon
Transverseoocolon
Descendingoocolonoo(sigmoid,oorectum,ooanal)

Inoowhatoopartooofootheoodigestiveoosystemooareoofatsooandooproteinsoobrokenoodown?oo-
ooans--Theoostomachoo-oousesooHCLooandooenzymes


Whatoolinesootheoosurfaceooofootheoosmalloointestineootooohelpooabsorboonutrients?oo-
ooans--Villi


Whatooareootheoopartsooofootheoosmalloointestine?oo-ooans--duodenum,oojejunum,ooileum

Whatooareootheoopartsooofootheoostomach?oo-ooans--
Theoofundus,ooantrumooandootheoobody

Whatooisooperistalsis?oo-ooans--
Theoosequentialooautonomicoomuscularoocontractionsoothatoomoveoonutrientsooalongoothe
oodigestiveootract


Whatoopartooofootheoodigestiveoosystemooisooresponsibleooabsorbingoowater,oolubricatingo
ocontents,ooandooputrefaction?oo-ooans--Largeoointestine


Whatooisooputrefaction?oo-ooans--
Changesooproducedoobyooactionooofoobacteriaooandoomicroorganismsootooodecomposeoo
undigestedoofood,oounabsorbedooanimoooacids,oocelloodebris,ooandoodeadoobacteria

Whatooisootheoofunctionooofootheoogallbladder?oo-ooans--Concentratesooandoostoresoobile

Whatooabdominalooorganoohasoobothooexocrineooandooendocrineoofunctions?
ooWhatooareootheoofunctions?oo-ooans--Exocrineoo-ooproducesoodigestiveooenzymesoo


Endocrineoo-ooproducesooinsulin

Whatooisootheoofunctionooofootheoospleen?oo-ooans--
Filteroobloodooandoohelpoofightooinfections

,Whatooabdominalooorgan(s)ooisoolocatedooinootheooretroperitoneum?oo-ooans--Kidneys

Whatoopartooofootheoosocialoohistoryoodoooyouooalwaysoowantootooomakeoosureooyouooasko
oaboutoowhenooassessingooandooabdominaloocomplaint?oo-ooans--Alcoholoouse/abuse


Whenooyouooareoopalpatingooyouroopatient'sooabdomenoowhereoodoooyouoowantootooolook
ooforoocluesootoootheooseverityooofootheiroopain?oo-ooans--Theirooface


Whatooisoopyrosis?oo-ooans--Heartburn

WhatootypeooofoodiseaseooisooIBS,oogenerally?oo-ooans--Functional

45ooy/
ooofemaleoopresentsootoooyourooofficeoocomplainingooofooachey,ooburningooepigastricoopai
n,ooespeciallyooafteroosheooeats.ooYouroocardiacooworkupooisoonegative.ooWhatooisoohighoo
onooyouroodifferential?ooWhatoolifestyleoomodificationsoodoooyouoosuggest?oo-ooans--
GERDoo

Stayoosittingooupooafterooeatingoo
Waitooaoofewoohoursooafterooeatingootooogoootooosleep
Avoidoospicyoofoods,oochocolate,oocaffeine,ooacidicoofoods,ooetc

Youroopatientoocomesooinoowithoolossooofooappetiteooforootheoolastoofewooweeks.ooWhatooc
hronicoomedicaloodiseaseoodoooyouoowantootoookeepooonooyouroodifferential?oo-ooans--
Malignancy

Protonoopumpooinhibitorsoocanooincreaseootheooriskooofoowhatooinfectiousoodisease?oo-
ooans--C.oodif


Whenooyouooareooworkingooupooaoopatientoowithooaoochiefoocomplaintooofoonauseaoowhato
odoooyouoowantootoooaskoothem?oo-ooans--Pregnant?
Whenoonauseous?
Haveooyouootakenooanything?
Vomiting?
Relationshipootooofood?oo
Boweloochanges?
Takingoomedications?oo
PMS?

Youroopatientoopresentsootoooyourooofficeoo-ooans--

Whatoodoesooprojectileoovomitingooinooanooadultoomakeooyouoothink?oo-ooans--
Increasedoointracranialoopressure

, Youooareooseeingooaoopatientooinooyourooofficeooandooheootellsooyouooheoohasoobeenoohavi
ngoolong,ooskinnyoostools.ooWhatooareooyouooworriedooabout?oo-ooans--
Intestinalooobstructionoo

Malignancy?

Whatoodoesoofattyoostoolooindicate?oo-ooans--Malabsorption

Whatoodoooclayoocoloredoostoolsooindicate?oo-ooans--Hepatobiliaryooobstruction

Whatoocommonoomedicationsoocanoocauseooconstipation?oo-ooans--5-
HT3ooreceptorooantagonistsoo(Ondansetron);ooAntacids;ooAnticholinergics;ooAntidepress
ants;ooAntihistamines;ooAnticonvulsants;ooCCB;ooClonidine;ooCalciumoosupplements;ooDi
uretics;ooIronoosupplements;ooLevodopa;ooNarcotics;ooNSAIDs;ooPsychotropics;ooSympat
homimetics

Whatooareooyouooworriedooaboutooinooolder,ooyounger,ooandooimmunocompromisedoopati
entsoowithoodiarrhea?oo-ooans--Dehydrationoo-->ooelectrolyteooimbalances

Whatooisoodysuria?oo-ooans--Painfuloooroodifficultoourination

Whatoodoooyouoowantootooowarnooyouroopatientooofoobeforeoostartingoohimooonooaoolaxativ
e?oo-ooans--Canoodevelopooaoodependencyoodueootooodecreasedoointestinalootone

Youroopatientootellsooyouooheoohasoobeenoohavingoodarkootarryoostools.ooWhatoomedicatio
noodoooyouoowantootoooaskooabout?oo-ooans--Ironoosupplement

Whatooisoofamilialoomediterraneanoofever?oo-ooans--
Inheritedooconditionoocharacterizedoobyoorecurrentooepisodesooofoopainfulooinflammationo
oinootheooabdomen,oochest,oooroojoints


Whenooyouooareoopreppingooyouroopatientooforooanooabdominalooexamoowhatoodoooyouoo
wantootoootelloothemootooodo?oo-ooans--Emptyootheiroobladder

Whenooyouooareooperformingooanooabdominalooexamoowhereoodoooyouoowantootooostando
oinoorelationootoooyouroopatient?oo-ooans--Onootheoopatient'soorightooside


Whatooareootheoonineooregionsooofootheooabdomen?oo-ooans--
Rightoohypochondriac,ooepigastric,ooleftoohypochondriac,oorightoolumbar,ooumbilical,oolefto
olumbar,oorightooinguinal,oohypogastric,ooleftooinguinal


Whatoohypotheticaloolinesoodivideooupootheoonineooregionsooofootheooabdomen?oo-ooans--
Twooohorizontaloolinesoo-
ooacrossooedgeooofoocostaloomarginooandooedgeooofooiliacoocrestoo