SOLUTIONS
6 muscles of the eye Correct Answers 4 Rectus - superior -
inferior - lateral- and medial
2 Oblique- superior & inferior
Abdomen ; Anatomy and Physiology Correct Answers -The
abdomen is a large oval cavity.
-Extends from the diaphragm down to the brim of the pelvis.
-Divided into 4 quadrants.
-The aorta is just to the LEFT of the midline.
-Located conveniently 2cm below the umbilicus ( bellybutton).
Abdominal Assessment : Objective (Auscultate) Correct
Answers •Ausculate bowel sounds and vascular sounds
•Always start in the RLQ unless this is the area of pain. If the
client is having abd. pain always start in the quadrant furthest
from the area of pain.
•Listen for normal activity, usually 5 - 30 times a minute bowels
move. Note if this is normal, hypoactive or hyperactive. ( must
listen for a full 5 minutes to determine absence)
Abdominal Assessment : Objective (Inspection) Correct
Answers -Contour: shape of belly
,-Symmetry: Note an bulging, visible masses, asymmetry.
-Umbilicus: Is it midline, outee or inee.
-Skin: Are there lesions, pigment issues
-Pulsations and Movement: Pulsations from the Aorta is visible
particularly in the very thin.
-Demeanor: relaxed , quiet presentation, no guarding
Abdominal Assessment : Objective (Palation) Correct Answers
-There is light and deep
-Always start with light: depress the skin 1 cm.
-Gentle rotary motion, move clockwise and lift ( don't drag)
your fingers.
-Goal: To illicit painful areas and superficial masses
Abdominal Assessment : Objective (Percussion) Correct
Answers -Percuss lightly in all 4 quadrants. Same Rule start in
RLQ unless they are having pain there.
-Tympany is present because gas rises.
Abdominal Assessment : Subjective Data Collection Correct
Answers -Change in appetite
-Dysphagia ( difficulty swallowing)
, -Food intolerance
-Abdominal pain
-Nauseas/vomiting
An enlarged liver Correct Answers hepatomagaly
Assess Reflexes Correct Answers -Biceps
-Triceps
-Brachioradialis
-Patellar
-Achilles
-Superficial Relexes
Assess Sensory Function Correct Answers -Light touch (cotton
ball)
-Superficial pain sensation
(tongue depressor)
-Temperature sensitivity
Assessing those with substance use disorders Correct Answers -
typically a symptom of violence, trauma etc
- must view health history
- question financial well-being and housing
- assessment determines support suggestions
HA is based on...
- the focus of health promotion
- location of living
- inform if trauma is involved