NSG3160 / NSG 3160 Exam 4 | Health
Assessment Exam 4 | Questions with
Verified Answers | 100% Correct | Grade A |
Latest Update | Galen
In general, which finding should be evaluated first? A new finding or
known finding? - Correct Answer - New finding
Subjective data - Correct Answer - Asking patient about:
Appetite
Dysphagia
Food intolerance
Abdominal pain
Nausea/vomiting
Bowel habits
Past abdominal history
Medications
Nutritional assessment
Acute abdominal pain - Correct Answer - Requires urgent diagnosis as it
could be: appendicitis, cholecystitis, SBO, or perforated organ.
Chronic abdominal pain - Correct Answer - mostly from gastric ulcers,
occurs usually on an empty stomach vs. pain of a duodenal ulcer occurs
2 to 3 hours after a meal and is relieved by more food
,Melena - Correct Answer - black stools containing digested blood; upper
GI
Gray stool - Correct Answer - hepatitis
Red blood in stool - Correct Answer - occurs w/GI bleeding, or localized
bleeding around anus (hemorrhoids); lower GI
Peptic Ulcer Disease - Correct Answer - occurs w/frequent use of
NSAIDs, alcohol, smoking, and H. Pylori infection
Nutritional assessment - Correct Answer - Best assessed through food
log/diary
Peritoneal friction rub - Correct Answer - Rough grating sound
Indicates peritoneal inflammation
Liver & Spleen
Venous hum - Correct Answer - Rarely occur
• Heard in the periumbilical region
Rome III Criteria for Constipation - Correct Answer - less than or equal to
3 stools/week, straining, lumpy or hard stools, incomplete evacuation,
sensation of blockage.
Risks: older age, women, & inactivity
Non-tarry stool - Correct Answer - d/t iron medication
, Clay colored stool - Correct Answer - indicates absent bile pigment from
bile blockage in colon, biliary cirrhosis, gallstones, alcoholic or viral
hepatitis
Steatorrhea - Correct Answer - excessive fat in stool secondary to
malabsorption as in celiac disease, cystic fibrosis ,chronic pancreatitis,
or Crohn's Disease
Fissure - Correct Answer - painful BM like "shards of glass"
To Maintain Good Colon Health: - Correct Answer - High Fiber Foods
(beans, prunes, barley, carrots, broccoli, cabbage); whereas, insoluble
fiber food, such as: cereals & wheat germ reduce risk for colon cancer.
Is accumulation of cheesy smegma below foreskin normal? - Correct
Answer - YES
Testicular self examination (TSE) - Correct Answer - • T= timing(Once a
month)
• S = shower, warm water relaxes scrotal sac
• E = examine, check for abnormals (firm, painless lump; a hard area; or
an overall enlarged testicle)
Dysmenorrhea - Correct Answer - painful menstruation
Pelvic exam/Pap position - Correct Answer - lithotomy (Supine position
with feet in stirrups and knees apart, and the buttocks at the edge of the
examining table)
Assessment Exam 4 | Questions with
Verified Answers | 100% Correct | Grade A |
Latest Update | Galen
In general, which finding should be evaluated first? A new finding or
known finding? - Correct Answer - New finding
Subjective data - Correct Answer - Asking patient about:
Appetite
Dysphagia
Food intolerance
Abdominal pain
Nausea/vomiting
Bowel habits
Past abdominal history
Medications
Nutritional assessment
Acute abdominal pain - Correct Answer - Requires urgent diagnosis as it
could be: appendicitis, cholecystitis, SBO, or perforated organ.
Chronic abdominal pain - Correct Answer - mostly from gastric ulcers,
occurs usually on an empty stomach vs. pain of a duodenal ulcer occurs
2 to 3 hours after a meal and is relieved by more food
,Melena - Correct Answer - black stools containing digested blood; upper
GI
Gray stool - Correct Answer - hepatitis
Red blood in stool - Correct Answer - occurs w/GI bleeding, or localized
bleeding around anus (hemorrhoids); lower GI
Peptic Ulcer Disease - Correct Answer - occurs w/frequent use of
NSAIDs, alcohol, smoking, and H. Pylori infection
Nutritional assessment - Correct Answer - Best assessed through food
log/diary
Peritoneal friction rub - Correct Answer - Rough grating sound
Indicates peritoneal inflammation
Liver & Spleen
Venous hum - Correct Answer - Rarely occur
• Heard in the periumbilical region
Rome III Criteria for Constipation - Correct Answer - less than or equal to
3 stools/week, straining, lumpy or hard stools, incomplete evacuation,
sensation of blockage.
Risks: older age, women, & inactivity
Non-tarry stool - Correct Answer - d/t iron medication
, Clay colored stool - Correct Answer - indicates absent bile pigment from
bile blockage in colon, biliary cirrhosis, gallstones, alcoholic or viral
hepatitis
Steatorrhea - Correct Answer - excessive fat in stool secondary to
malabsorption as in celiac disease, cystic fibrosis ,chronic pancreatitis,
or Crohn's Disease
Fissure - Correct Answer - painful BM like "shards of glass"
To Maintain Good Colon Health: - Correct Answer - High Fiber Foods
(beans, prunes, barley, carrots, broccoli, cabbage); whereas, insoluble
fiber food, such as: cereals & wheat germ reduce risk for colon cancer.
Is accumulation of cheesy smegma below foreskin normal? - Correct
Answer - YES
Testicular self examination (TSE) - Correct Answer - • T= timing(Once a
month)
• S = shower, warm water relaxes scrotal sac
• E = examine, check for abnormals (firm, painless lump; a hard area; or
an overall enlarged testicle)
Dysmenorrhea - Correct Answer - painful menstruation
Pelvic exam/Pap position - Correct Answer - lithotomy (Supine position
with feet in stirrups and knees apart, and the buttocks at the edge of the
examining table)
