NUR 203 exam 3/ NUR 203: Exam 3/ NUR 203 exam 3
With 3 sets combined New edi on
what posi on should the client be in to palpate the spleen? - Ans ride-side lying (this moves the
spleen down and forward)
what posi on should the client be in while to inspect the abdomen? - Ans supine with arms at
sides or folded across chest
what suggests an abdominal aneurysm? - Ans abdominal bruit
what does a prominent pulsa ng mass above the umbilicus signify? - Ans abdominal aor c
aneurysm
where do you feel pain associated with gallbladder? - Ans RUQ with referred pain in right
shoulder
where do you feel pain associated with pancreas? - Ans epigastric pain, with referred lower
back pain
concerning symptoms of dehydra on - Ans thirst, diaphoresis, vomi ng/diarrhea
concerning signs of dehydra on - Ans short term weight loss, dry mucous membranes/eyes,
sunken eyes, decreased skin turgor, fever, decreased mental status ****decreased BP, increased
pulse rate****
,contribu ng factors to dehydra on - Ans inability to drink, decreased mobility, exposure to
excessive heat, exercise in heat, older age, medica ons, burns, hemorrhage
concerning signs of overhydra on - Ans edema, fine crackles in lungs, confusion ****high BP,
low pulse rate or bounding pulse****
contribu ng factors to overhydra on - Ans heart failure, kidney failure, liver disease, increased
sodium, too much IV fluid
how to assess hydra on - Ans history findings, integumentary assessment, BP and pulse, vein
filling, urine output, urine specific gravity, lung sounds, mental status
dehydrated urine specific gravity - Ans higher, more concentrated liquid
overhydrated urine specific gravity - Ans lower, less concentrated
what causes imbalanced nutri on? - Ans less than body requirements or more than body
requirements
causes of imbalanced nutri on - Ans physical disease related, mental health issue,
socioeconomic problem, mobility problem
components of nutrient assessment - Ans history, physical exam, anthropomorphic data
external anatomy of breast - Ans 4 quadrants (upper inner, upper outer, lower inner, lower
outer)
internal anatomy of breast - Ans glandular ssue, fibrous ssue, fa-y ssue
, lymph nodes - Ans supraclavicular, infraclavicular, lateral, central, subscapular (posterior),
pectoral(anterior), internal mammary
stage 1 breast development - Ans child; elevated nipple
stage 2 breast development - Ans beginning of puberty; breast budding; small mound
stage 3 breast development - Ans further enlargement; no separa on of breast contours
stage 4 breast development - Ans areola and nipple form secondary mound
stage 5 breast development - Ans nipple fla-ens
male breast - Ans thin flat disk of glandular ssue, smaller nipple, areolar is smaller, cancer is
rare but can happen
gynecomas a - Ans enlargement of breasts in males, can occur in newborns (exposure to
mothers hormones) and adolesants (hormones of puberty) and elderly males (hormone levels
decreasing, hormone meds)
concerning symptoms of breasts - Ans lumps, rashes/redness/warmth, drainage, pain,
dimpling/asymmetry
past history of breasts - Ans pregnancies
breas3eeding (preventa ve against breast cancer)
menarche/menopause
With 3 sets combined New edi on
what posi on should the client be in to palpate the spleen? - Ans ride-side lying (this moves the
spleen down and forward)
what posi on should the client be in while to inspect the abdomen? - Ans supine with arms at
sides or folded across chest
what suggests an abdominal aneurysm? - Ans abdominal bruit
what does a prominent pulsa ng mass above the umbilicus signify? - Ans abdominal aor c
aneurysm
where do you feel pain associated with gallbladder? - Ans RUQ with referred pain in right
shoulder
where do you feel pain associated with pancreas? - Ans epigastric pain, with referred lower
back pain
concerning symptoms of dehydra on - Ans thirst, diaphoresis, vomi ng/diarrhea
concerning signs of dehydra on - Ans short term weight loss, dry mucous membranes/eyes,
sunken eyes, decreased skin turgor, fever, decreased mental status ****decreased BP, increased
pulse rate****
,contribu ng factors to dehydra on - Ans inability to drink, decreased mobility, exposure to
excessive heat, exercise in heat, older age, medica ons, burns, hemorrhage
concerning signs of overhydra on - Ans edema, fine crackles in lungs, confusion ****high BP,
low pulse rate or bounding pulse****
contribu ng factors to overhydra on - Ans heart failure, kidney failure, liver disease, increased
sodium, too much IV fluid
how to assess hydra on - Ans history findings, integumentary assessment, BP and pulse, vein
filling, urine output, urine specific gravity, lung sounds, mental status
dehydrated urine specific gravity - Ans higher, more concentrated liquid
overhydrated urine specific gravity - Ans lower, less concentrated
what causes imbalanced nutri on? - Ans less than body requirements or more than body
requirements
causes of imbalanced nutri on - Ans physical disease related, mental health issue,
socioeconomic problem, mobility problem
components of nutrient assessment - Ans history, physical exam, anthropomorphic data
external anatomy of breast - Ans 4 quadrants (upper inner, upper outer, lower inner, lower
outer)
internal anatomy of breast - Ans glandular ssue, fibrous ssue, fa-y ssue
, lymph nodes - Ans supraclavicular, infraclavicular, lateral, central, subscapular (posterior),
pectoral(anterior), internal mammary
stage 1 breast development - Ans child; elevated nipple
stage 2 breast development - Ans beginning of puberty; breast budding; small mound
stage 3 breast development - Ans further enlargement; no separa on of breast contours
stage 4 breast development - Ans areola and nipple form secondary mound
stage 5 breast development - Ans nipple fla-ens
male breast - Ans thin flat disk of glandular ssue, smaller nipple, areolar is smaller, cancer is
rare but can happen
gynecomas a - Ans enlargement of breasts in males, can occur in newborns (exposure to
mothers hormones) and adolesants (hormones of puberty) and elderly males (hormone levels
decreasing, hormone meds)
concerning symptoms of breasts - Ans lumps, rashes/redness/warmth, drainage, pain,
dimpling/asymmetry
past history of breasts - Ans pregnancies
breas3eeding (preventa ve against breast cancer)
menarche/menopause
