Exam 1: NR304 / NR 304 (New 2024/2025 Update) Health Assessment II |Review with Questions and Verified Answers| 100% Correct | A Grade
... [Show More] -Chamberlain
QUESTION
When performing the Physical Examination, you are listening (Auscultat- ing) for?
Answer:
Bowel Sounds and Vascular Sounds
- Bowel sounds present, no bruits.
QUESTION
What is Inspiratory Arrest (Murphy Sign)?
Answer:
Hold your fingers under the liver border. Ask the person to take a deep breath
Normal - No pain
Abnormal- Pain
- When the test is positive, as the descending liver pushes the inflamed gallbladder onto the examining hand, the person feels sharp pain and abruptly stops inspiration midway.
- Normally, palpating the liver causes no pain. In a person with inflammation of the gallbladder (cholecystitis), pain occurs.
QUESTION
What is the McBurney Point Tenderness?
Answer:
Draw a straight line from the anterior superior spinous process of the ileum to the umbilicus. McBurney point is located 1.5 to 2 inches from the ileum along this line.
McBurney point is at the hand placement in Inflammation of the appendix (Appen- dicitis) usually produces RLQ pain to palpation, with maximal tenderness sometimes occurring over McBurney point.
QUESTION
Normal pulsations (aorta) or movements
Answer:
Normally you may see the pulsa- tions from the aorta beneath the skin in the epigastric area and sometimes are visible in very thin people.
- They ripple slowly and obliquely across the abdomen.
- Marked pulsation of aorta occurs with widened pulse pressure (e.g., hypertension, aortic insufficiency, thyrotoxicosis) and aortic aneurysm.
- Marked visible peristalsis, together with a distended abdomen, indicates intestinal obstruction.
QUESTION
Physical Abdominal Exam Inspection Includes?
Answer:
Contour
Umbilicus Symmetry Skin
Pulsation/Movement Hair (Pubic) distribution Demeanor
QUESTION
Physical examination of the Umbilicus include?
Answer:
Normal - Inverted, with no sign of discoloration, inflammation, or hernia.
Abnormal- Everted with ascites or underlying mass, and deeply sunken with obesity. Enlarged, everted with umbilical hernia.
-Bluish periumbilical color occurs (though rarely) with intraperitoneal bleeding
(Cullen sign).
QUESTION
In order to find out a patient's nutritional habits, you could have them make a ?
Answer:
Nutritional assessment via 24-hour recall.
QUESTION
Why do you auscultate before you percuss and palpate?
Answer:
To reduce in- creased peristalsis and false interpretation of bowel sounds.
- Peristalsis is a series of wave-like muscle contractions that move food through the digestive tract.
QUESTION
What is gastroesophageal reflux disease (GERD)?
Answer:
When the stomach acid repeatedly flows back into the tube connecting your mouth and stomach (esopha- gus).
- Gastroesophageal reflux disease (GERD) is a complex of symptoms of esophagi- tis, including burning pain in midepigastrium or behind lower sternum that radiates upward, or "heartburn."
- Occurs 30 to 60 minutes after eating; aggravated by lying down or bending over.
QUESTION
Common Sites of Referred Abdominal Pain
Answer:
1- Liver—RUQ
2- Esophagus—behind lower sternum
3- Stomach/ perforated ulcer - refers to one or both shoulders.
4- Gallbladder—RUQ
5- Appendix—RLQ
6- Pancreas—Midscapular
7- Kidney—flank pain or abdominal pain
8- Small intestine—diffuse
9- Colon—colicky pain and bloating
10- Duodenum- does not radiate [Show Less]