Week 3 test advanced practice 1 NSG
6001
Chapter 127 abd pain and infections
1. Left upper quadrant pain is usually associated with
- Heart of chest cavity, spleen, pancreas, stomach, left
kidney or ureter
2. Right lower quadrant pain is associate with
- Appendix, bowel, right ureter, or pelvis.
3. Pain that migrates across several quadrants is typically
associated with
- Bowel
4. 3 signs and symptoms most predictive of acute
appendicitis are
- Pain that starts in the epigastrum or periumbilical
area
- Migration of pain to right lower quadrant
- Abdominal rigidity
5. What follows the onset of pain in acute appendicitis
, - Anorexia, n/v, constipation and rarely diarrhea, low
grade fever
6. What is the are associated with appendicitis pain causing
localized tenderness in the right lower quadrant between
the umbilicus and the anterosuperior iliac spine
- McBurney point
7. What is the rovsing sign
- Right lower quadrant pain elicited by palpating the
left lower quadrant
8. The obturator sign can be best described as abdominal
pain elicited by
- Passive flexion and internal rotation of the hip
9. What is the psoas sign described as
- Patient reports pain during exercise where
practitioner has patient who is supine raise leg
against resistance
10. is the treatment of acute appendicitis
- Appy usually within 24 hours
11. What are the complications of appendicitis
, - Perforation, gangrene, abscess formation
12. What is an ileus
- Paralysis of the intestinal musculature
13. What is intusssception
- When a bowel segment telescopes into the adjacent
bowel resulting in symptoms of intermittent bowel
obstruction
14. What is volvus
- Abnormal Twisting of a bowel segment along its
mesenteric axis
15. How does bowel obstruction manifest
- Intermittent and crampy abd pain, vomiting,
obstipation, abd distention, hyperactive bowel
sounds, and fever.
16. in a bowel obstruction what usually relieves pain
- vomiting
17. what indicates strangulated obstruction
- pain that progresses in severity, localizes, or becomes
constant
, 18. how do bowel sounds in a ileus differ?
- They are more frequently decreased or absent
19. How can a bowel obstruction be diagnosed
- With a plan radiography or ultrasound
20. If xray shows free air what could this indicate
- Perforation
21. If the patient has an ileus what results will the xray
show
- Distended loops in both the large and small bowel
22. If the patient has an obstruction what will the xray
show
- Segment proximal to the obstruction is distended and
the distal bowel loops are decreased in caliber
23. What is the initial mgmt. of bowel obstruction
- NPO, ivf, electrolyte replacement as needed, acid
base correction, symptom relief
24. If a patients bowel obstruction does not resolve on its
own with supportive care what is the plan of care
- Laparotomy
6001
Chapter 127 abd pain and infections
1. Left upper quadrant pain is usually associated with
- Heart of chest cavity, spleen, pancreas, stomach, left
kidney or ureter
2. Right lower quadrant pain is associate with
- Appendix, bowel, right ureter, or pelvis.
3. Pain that migrates across several quadrants is typically
associated with
- Bowel
4. 3 signs and symptoms most predictive of acute
appendicitis are
- Pain that starts in the epigastrum or periumbilical
area
- Migration of pain to right lower quadrant
- Abdominal rigidity
5. What follows the onset of pain in acute appendicitis
, - Anorexia, n/v, constipation and rarely diarrhea, low
grade fever
6. What is the are associated with appendicitis pain causing
localized tenderness in the right lower quadrant between
the umbilicus and the anterosuperior iliac spine
- McBurney point
7. What is the rovsing sign
- Right lower quadrant pain elicited by palpating the
left lower quadrant
8. The obturator sign can be best described as abdominal
pain elicited by
- Passive flexion and internal rotation of the hip
9. What is the psoas sign described as
- Patient reports pain during exercise where
practitioner has patient who is supine raise leg
against resistance
10. is the treatment of acute appendicitis
- Appy usually within 24 hours
11. What are the complications of appendicitis
, - Perforation, gangrene, abscess formation
12. What is an ileus
- Paralysis of the intestinal musculature
13. What is intusssception
- When a bowel segment telescopes into the adjacent
bowel resulting in symptoms of intermittent bowel
obstruction
14. What is volvus
- Abnormal Twisting of a bowel segment along its
mesenteric axis
15. How does bowel obstruction manifest
- Intermittent and crampy abd pain, vomiting,
obstipation, abd distention, hyperactive bowel
sounds, and fever.
16. in a bowel obstruction what usually relieves pain
- vomiting
17. what indicates strangulated obstruction
- pain that progresses in severity, localizes, or becomes
constant
, 18. how do bowel sounds in a ileus differ?
- They are more frequently decreased or absent
19. How can a bowel obstruction be diagnosed
- With a plan radiography or ultrasound
20. If xray shows free air what could this indicate
- Perforation
21. If the patient has an ileus what results will the xray
show
- Distended loops in both the large and small bowel
22. If the patient has an obstruction what will the xray
show
- Segment proximal to the obstruction is distended and
the distal bowel loops are decreased in caliber
23. What is the initial mgmt. of bowel obstruction
- NPO, ivf, electrolyte replacement as needed, acid
base correction, symptom relief
24. If a patients bowel obstruction does not resolve on its
own with supportive care what is the plan of care
- Laparotomy
