Download NUR 210/ NUR210 Exam 3 Complete (Latest 2025/ 2026 Update) Principles of Pharmacology and more Exercises Pharmacology in PDF only on Docsity!
NUR 210/ NUR210 Exam 3 Complete (Latest 202 5 /
202 6 Update) Principles of Pharmacology Exam |
Questions and Answers | 100% Correct (Verified
Solutions) Grade A | Galen./
- The nurse auscultates the patient's abdomen and hears in RUQ rushing, tinkling, high pitched sounds. These type of sounds indicate: a. Hyperactive bowel sounds b. Small bowel obstruction c. Normal finding d. Hypoactive bowel sounds a. Hyperactive bowel sounds
- Which statement by the patient indicates he has a medical history of dysuria? a. "I seem to void alot at night." b. "My urine is red or rust color" c. "My urine is cloudy" d. "I have trouble starting to void d. "I have trouble starting to void
- The patient, during a comprehensive assessment, asks why the nurse listens to the bowel sounds before palpation or percussion. Which statement by the nurse below indicate correct rationale about assess the abdomen
a. "I just finished assessing your lungs and heart and proceeded to the abdomen because you were in the proper position for it." b. "There are not any set rules of assessment." c. "To avoid altering bowel sound activity" d. "To avoid you any pain or discomfort" c. "To avoid altering bowel sound activity" Where is the vertical line of the abdomen? xyphoid of sternum thorugh umbilicus What line runs through umbilicus across abdomen? lateral How many abdominal regions are there?
- 9
- rt. hypochondriac region
- rt. lumbar region
- rt. iliac (injuinal) region
- epigastric region
- umbilical region
- hypogastric region
- lt. hypochondriac region
- lt. lumbar region
Emesis nausea/vomiting What are the most important ?'s to ask w/ emesis?
- when does it occur
- what triggers it What is declined appetite in older adults caused by?
- altered metabolism
- decreased tastes
- decreased mobility What are the 3 ?'s to ask with elimination?
of stools/ day
- consistency
- any recent change? What are the 4 urine ?'s to ask?
times void in day
times void at night
- color
- odor Do older adults have a risk for complications w/ diarrhea and are more prone to UTI's? yes bc protective bacteria decreases w/ age Are voids > often w/ pregnancy? yes Alcohol use, food preferences, caffenien use, exercise, stress are all lifestyle practices that effect what?
- abdominal health asses. Is it important to allow the client to empty their bladder before assessment? yes Supine with arms by side, legs flexed slightly is important position for what?
- abdominal asses.
- raising arms above head tenses muscle
- towel under knees helps relax muscles
What is ascites? swelling associated w/ fluid accumulation Are scattered veins normal with abd asses.? yes Are dilated veins normal w/ abd asses.? What does it indicate?
- no
- cirrhosis of liver What is a common finding with older adults in terms of vascular abd asses.? dilated superficial capillaries w/out pattern are > visible in light Striae is what? stretch marks Is new striae that is pink or bluish color and old striae that is silvery, white & linear normal in an abd asses.? yes
Dark bluish-pink striae is normal when assessing abd TRUE OR FALSE false What S&S are associated w/ adrenal syndrome or ascites? dark bluish pink striae Presence of scars should alter you to the possibility of what in abd asses.? adhesions Scars should be pale, smooth, minimally raised (old scars) TRUE or FALSE true Healing wounds, redness, inflammation, keloid scars are what w/ abdominal asses.? abnormal Image: Healing wounds, redness, inflammation, keloid scars are what w/ abdominal asses.? Keloid scars are most common w/
- seen when inspecting abdomen Image: What is cullen's sign? Should the midline be at the lateral line when asses. umbilicus? yes A deviated umbilicus could be caused by?
- pressure from mass
- enlarged organs
- hernia
- fluid or scars Inverted, recessed or slight protusion is normal or abnormal when asses. countour of umbilicus? normal Everted due to abdominal distention & umbilical hernia are abnormal findings when asses. umbilicus contour TRUE OR FALSE true
Abdominal contour should be flat, evenly rounded or scaphoid in thin adults TRUE OR FALSE true Look from what position to determine abd. contour? side while laying down from slightly higher than level of abd. A protuberant abd could indicate what?
- obesity
- air
- fluid Distention below umbilicus could indicate what?
- distended bladder
- uterine enlargement
- ovarian tumor or cyst Distention of upper abd could indicate what?
- pancreatic masses
- gastric dilation
- scaphoid (sunken) w/ severe weight loss
Is it normal to see abdominal movement with respirations? yes Thoracic breathing is abnormal with clients with what? peritoneal irritation Is it normal for slight pulsation of the abdominal aorta in the epigastrium? What type of individuals is it most visible in?
- yes
- thinner ppl Vigorous, wide, exaggerated aortic pulsations are S&S of what?
- abdominal aortic aneurysm
- EMERGENCY How is an AAA screened? When is a normal screening?
- ultrasound
- men 65-75 old who have smoked Can peristaltic waves be seen usually? no unless very thin
If peristaltic waves are increased and progress in what type of way what may be the problem?
- ripple like fashion
- intestinal obstruction With an intestinal obstruction, the ripple of the peristaltic waves move from what quadrant to what quadrant? LUQ to RLQ What part of the stethoscope do you use to auscultate the bowl? diaphragm What quadrant do you begin at to auscultate the bowl? why?
- RLQ with light pressure
- bc its the most active site What direction do you move to auscultate the bowl? clockwise
Is absence of bowel sounds an emergency? yes bc absence of bowel motility How long must you listen to determine no bowel sounds present? <_ 1/min per quadrant What pt of the stethoscope do you use to auscultate for vascular sounds of the abdomen? bell What are you listening for when auscultating the bowel?
- bruits over abdominal aorta & renal arteries
- venous hum
- friction rub In the epigastric & umbilical area what are you listening for? venous hum Where do you listen for a friction rub? rt & lft lower rib cage with diaphragm
Aneurysm or arterial stenosis could be noticed with what abnormal finding with vascular sounds?
- bruit with both systolic & diastolic components Tympany presence of air Should dullness over liver and spleen or descending colon w/ stool & tympany be noted with percussing for tone? yes Accentuated tympany or hyperresonance over gaseous abdomen or enlarged area of dullness over liver or spleen, distended bladder, large masses, ascites are what what with percussion? abnormal Where would you do blunt percussion over kidneys? at CVA (constovertebral angels) Image: Where would you do blunt percussion over kidneys? Where is the CVA? What position is need to assess it?
Is it normal to have mild tenderness over xiphoid, aorta, cecum, sigmoid colon, & ovaries? no What is important to note with abnormal deep palpation assessment of abdomen?
- location
- size
- consistency
- demarcation
- pulsatility
- tenderness & mobility of any masses Where are you palpating the aorta? what are you using? What are you assessing?
- slightly left of midline
- use thumb & forefinger
- pulsations Image: Where are you palpating the aorta? what are you using? What are you assessing? How many cm is a normal width for the aorta? 2.5-3.0 cm
Moderately strong & regular pulse & mild tenderness is possible when palpating the aorta? TRUE OR FALSE true A wide, bounding pulse with AAA (audible bruit) is what?
- abnormal DO NOT PALPATE (could cause it to burst) Image: A wide, bounding pulse with AAA (audible bruit) is what? Is rebound tenderness a test for appendicitis? How would you test it?
- yes
- palpate deelply LLQ, suddenly release pressure, listen & watch for expression of pain Image: Is rebound tenderness a test for appendicitis? How would you test it? It's not important for the client to describe which hurts worse the palpation or the release? TRUE OR FALSE false What test is always performed at end of abdominal asses?
- appendicitis test
