NUR 2180 Module 5 Quiz Focused Review

Module 5 Quiz Focused Review

• Assessment techniques of abdomen
o Inspection
o Auscultation
o Percussion
o Palpitation
▪ LRQ, URQ, ULQ, LLQ
o Light –
▪ First four fingers together
▪ Depress the skin about 1cm
o Deep –
▪ First four fingers together
▪ Depress the skin about 5 to 8cm
• Costovertebral angle tenderness
o Indirect fist percussion causes tissues to vibrate instead of producing a sound
o To assess kidney, place one hand over 12th rib at costovertebral angle on back
o Thump that hand with ulnar edge of your other fist
o Person normally feels thud but no pain
o Its usual sequence in complete examination is with thoracic assessment, when person is
sitting up and you are standing behind
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• Exam findings for breast cancer
o Dimpling
o Lump
o Rash
• Rebound tenderness
o Blumberg’s sign
▪ pain on release of pressure
• Role of the nurse in genitourinary examinations
o To assist
o Adjust patient into position
• Hypoactive vs hyperactive bowel sounds
o Hypoactive bowel sounds
▪ Less than 5 a min
o Hyperactive bowel sounds
▪ More than 30 a min
• Location of organs in which quadrant
o Right Upper Quadrant (RUQ):
▪ Liver
▪ Gallbladder
▪ Duodenum
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