Exam 1: NR304 / NR 304 (New Update)
Health Assessment I | Questions and Answers | 100%
Correct Elaborations| Grade A - Chamberlain
Where do you find tympani?
All 4 quadrants, normal
Where do you find dullness?
RUQ-high under costal margin-liver
Where do you find resonance?
lungs
How do you percuss liver span?
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?
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?
, Exam 1: NR304 / NR 304 (New Update)
Health Assessment I | Questions and Answers | 100%
Correct Elaborations| Grade A - Chamberlain
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?
Light for superficial masses, muscle tone, symmetry, pain
What is the purpose of deep palpation?
Deep palpation for organomegaly
What is rebound tenderness? IF + =
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
-Obesity - protruberant abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites
Health Assessment I | Questions and Answers | 100%
Correct Elaborations| Grade A - Chamberlain
Where do you find tympani?
All 4 quadrants, normal
Where do you find dullness?
RUQ-high under costal margin-liver
Where do you find resonance?
lungs
How do you percuss liver span?
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?
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?
, Exam 1: NR304 / NR 304 (New Update)
Health Assessment I | Questions and Answers | 100%
Correct Elaborations| Grade A - Chamberlain
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?
Light for superficial masses, muscle tone, symmetry, pain
What is the purpose of deep palpation?
Deep palpation for organomegaly
What is rebound tenderness? IF + =
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
-Obesity - protruberant abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites
