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What comes first? Auscultation or Palpation?
Auscultation
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Cholectcystitis is suspected if pain is felt when patient takes a deep breath while the nurse is deep palpating and patient abruptly stops. This is referred to as what?
Murphy's sign
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Costalvertebral angle CVA tenderness or severe pain may be caused by what?
pyelonephritis
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What part of the stethescope do you use when listening to bowel sounds?
diaphragm
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What part of the stethescope is used when listening to arterial and venous sounds in the abdomen?
bell
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Swooshing sounds, occuring during systole, occurs over which six regions?
- Right and Left
- Renal, Iliac, and Femoral arteries
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______ indicates turbulent blood flow caused by narrowing of blood vessels.
Bruits
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Deep palpations checking for abdominal tenderness and masses should push __ to __ cm.
4-6
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This technique uses both hands for deep palpation where top hand exerts the pressure.
Bimanual technique
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When percussing the abdomen, _______ tone should be heard most and is due to the presence of _____.
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Percussion of suprapubic area may sound _____ when urinary bladder is distended.
dull
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An enlarged _______ is brought forward on inspiration and produces a ____ tone when percussed.
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Which three organs are nonpalpable?
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Palpable and tender gallbladder may indicate ________.
Cholecystitis
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What does a nontender enlarged gallbladder indicate?
common bile duct obstruction
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When checking for cholecystitis, client experiences pain and abruptly stop inhaling during palpation. This is known as what?
Murphy's sign
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How do you check for abdominal reflexes?
Using a reflex hammer, stroke upper ab in an upward motion away from umbilicus, and a downward stroke of the lower abdomen away from the umbilicus.
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What should be observed when checking abdominal reflexes?
Movement of umbilicus towards the area stroked
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2 tests that determine if there is fluid in the abdominal cavity
- Shifting dullness test
- Fluid wave test
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3 conditions CVA tenderness may indicate.
- pyelonephritis
- glomerulonephritis
- kidney stone
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Describe shifting dullness test.
- Used when abdominal cavity fluid is suspected.
- Client lies supine.
- Line is drawn midline.
- Patients rotates to each side for percussion.
- Dullness shifts to dependent side where fluid is.
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Describe the fluid wave test.
- Client lies supine.
- Nurse places hands on both sides of abdomen.
- Taps one side and feels wave hit other hand.
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When is rebound tenderness present?
When the pain is less when pressure is applied and returns when pressure is removed.
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What is a positive McBurney sign indicative of?
Appendicitis
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Where is McBurney's point located?
Halfway between the umbilicus and the right anterior iliac crest.
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This muscle test indicates appendicitis.
Iliopsoas muscle test
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A positive obturator muscle test may indicate what two things?
- Ruptured appendix
- Pelvic abscess
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What is Ballottement?
Palpation technique used to determine a floating mass.
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This method is used when one hand pushes down on the abdomen and the other hand pushes upward to determine size and shape of floating mass.
Bimanual method
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