MARYVILLE AHA NURS 612 EXAM 3 |105 COMPLETE QUESTIONS AND ANSWERS |
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HPI questions for chief complaint of abdominal issue - (Answer)○Abdominal pain-OLDCARTS
○When did the pain start?
○Where is the pain in your stomach?
○Does the pain radiate to other locations?
○Have experience nausea/vomiting, indigestion or increase in belching.
○What medications have you used to treat your symptoms?
○Have you had any diarrhea or constipation?
○Do you have to use laxative frequently?
○What is your regular dietary habits?
inspection of abdomen - (Answer)-Abdominal contour
-Symmetry
-Umbilicus
-Skin Color
-Vascularity
-Scars
,-Striae
-Lesions or rashes
-Abdominal movement when breathing
-Aortic pulsation
-Have patient raise head while laying down and look for masses hernia or muscle separation
Abdominal assessment order - (Answer)inspection, auscultation, percussion, palpation
Always auscultate prior to percussion and palpation as it can change sound.
Abdomen Auscultation - (Answer)Bowel sounds in all four quadrants- note frequency and character
listen for friction rubs over liver and spleen
listen for bruits over the aortic, renal, illiac and femoral arteries
listen for venous hum around epigastric area above the belly button
,Abdominal findings abdomen - (Answer)○Bruits- A swishing sound heard over the aortic, renal iliac,
and femoral arteries, indicating narrowing or aneurysm.
○Pop/Tinkles- High pitch sound suggesting intestinal fluid and air under pressure, as in early
obstruction.
○Rushes- Rushes of high-pitched sounds that coincide with cramping suggests intestinal obstruction.
○Borborygmi- Increased prolonged gurgles occur with gastroenteritis, early intestinal obstruction,
and hunger.
○Rubs- Grating sounds that vary with respiration. Indicate inflammation of the peritoneal surface of
an organ from tumor, infection, or splenic infarct.
○Venous Hum- A soft humming noise often heard in hepatic cirrhosis that is caused by increased
collateral circulation between portal and systemic venous system.
, ○Succussion splash- A splashing noise produced by shaking the body when there is both gas and
fluid in a cavity or free air in the peritoneum or thorax.
○Decreased/absent bowel sounds- Occurs with peritonitis or paralytic ileus.
How to percuss to estimate the liver span - (Answer)o First, determine the lower border of the liver
by percussing up from an area of tympany along the right midclavicular line. Mark the point where
tympany changes to dullness, which usually occurs at or slightly below the costal margin.
o Second, determine the upper border of the liver by percussing down from an area of resonance
along the right midclavicular line. Mark the point where resonance changes to dullness, which
usually is in the fifth intercostal space.
o Third, measure the distance between the marks. The vertical liver span usually ranges from 6 to 12
cm.
Blumberg Sign - (Answer)Rebound tenderness, RLQ, appendicitis, peritoneal irritation
Cullen sign - (Answer)ecchymosis around umbilicus
2026 LATEST UPDATED| 100% RATED CORRECT | GET A+!!
HPI questions for chief complaint of abdominal issue - (Answer)○Abdominal pain-OLDCARTS
○When did the pain start?
○Where is the pain in your stomach?
○Does the pain radiate to other locations?
○Have experience nausea/vomiting, indigestion or increase in belching.
○What medications have you used to treat your symptoms?
○Have you had any diarrhea or constipation?
○Do you have to use laxative frequently?
○What is your regular dietary habits?
inspection of abdomen - (Answer)-Abdominal contour
-Symmetry
-Umbilicus
-Skin Color
-Vascularity
-Scars
,-Striae
-Lesions or rashes
-Abdominal movement when breathing
-Aortic pulsation
-Have patient raise head while laying down and look for masses hernia or muscle separation
Abdominal assessment order - (Answer)inspection, auscultation, percussion, palpation
Always auscultate prior to percussion and palpation as it can change sound.
Abdomen Auscultation - (Answer)Bowel sounds in all four quadrants- note frequency and character
listen for friction rubs over liver and spleen
listen for bruits over the aortic, renal, illiac and femoral arteries
listen for venous hum around epigastric area above the belly button
,Abdominal findings abdomen - (Answer)○Bruits- A swishing sound heard over the aortic, renal iliac,
and femoral arteries, indicating narrowing or aneurysm.
○Pop/Tinkles- High pitch sound suggesting intestinal fluid and air under pressure, as in early
obstruction.
○Rushes- Rushes of high-pitched sounds that coincide with cramping suggests intestinal obstruction.
○Borborygmi- Increased prolonged gurgles occur with gastroenteritis, early intestinal obstruction,
and hunger.
○Rubs- Grating sounds that vary with respiration. Indicate inflammation of the peritoneal surface of
an organ from tumor, infection, or splenic infarct.
○Venous Hum- A soft humming noise often heard in hepatic cirrhosis that is caused by increased
collateral circulation between portal and systemic venous system.
, ○Succussion splash- A splashing noise produced by shaking the body when there is both gas and
fluid in a cavity or free air in the peritoneum or thorax.
○Decreased/absent bowel sounds- Occurs with peritonitis or paralytic ileus.
How to percuss to estimate the liver span - (Answer)o First, determine the lower border of the liver
by percussing up from an area of tympany along the right midclavicular line. Mark the point where
tympany changes to dullness, which usually occurs at or slightly below the costal margin.
o Second, determine the upper border of the liver by percussing down from an area of resonance
along the right midclavicular line. Mark the point where resonance changes to dullness, which
usually is in the fifth intercostal space.
o Third, measure the distance between the marks. The vertical liver span usually ranges from 6 to 12
cm.
Blumberg Sign - (Answer)Rebound tenderness, RLQ, appendicitis, peritoneal irritation
Cullen sign - (Answer)ecchymosis around umbilicus
