N190 QUIZ 5 CONCEPT REVIEW
Which hepatitis is most common with people traveling to underdeveloped countries due to dirty water supply
hep E
functional incontinence
inability to reach the toilet
urge incontinence
increase fluid intake in a short period of time or small capacity of the bladder
stress incontinence
increase intraabdominal pressure due to coughing, sneezing, or aging
What kind of assessment technique will the nurse do when assessing the bladder area for distention?
indirect percussion
What does endocrine secrete?
insulin for carb and sugar metabolism
what is the role of kidney when BP suddenly drops from 120/80 to 90/60
it releases the renin b/c the kidneys secrete this enzyme that helps regulate BP
What organs are located in the RUQ?
liver and gallbladder
what does exocrine secrete?
pancreatic juice to assist w/ protein, fat, and carbs
ascites and pregnant woman
protuberant
obese person and infants
rounded to protuberant
very skinny person
scaphoid
Positive murphy's sign
sharp pain at RUQ cholecystitis
Positive Blumberg's sign
stabbing pain
What organs are located in the LUQ
stomach and spleen
What is an indication of aneurysm?
widened aorta
Psoas sign
- pain at RLQ - rt leg is raised up w/ resistance from the nurse - peritoneal irritation or appendicitis
what is the normal range of urine output
800 - 2000 cc
The nurse is performing an abdominal assessment on a client with abdominal pain. The client stated that the pain is intense when he raises his right leg. Which of the following signs is the patient manifesting which is consistent with appendicitis? a. Positive Psoas' sign b. Positive Murphy's sign c. Positive Rovsing's sign d. Positive Blumberg's sign
A
During the assessment of a client's urinary system, the nurse learns that the client has painful urination. Which would be the proper documentation of this condition? a. Oliguria b. Dysuria c. Anuria d. Hematuria
B
The nurse is assessing the patient's bladder area for distention. She positioned the client in supine with small pillow under the knees to relax the abdominal muscles. Which percussion technique should she employ in assessing a distended bladder? a. Direct Percussion b. Indirect Percussion c. Indirect Blunt Percussion d. All of the above
B
The nurse is performing an abdominal assessment on a client. While the nurse is palpating the lower border of the liver, the nurse asks the client to take a deep breath and hold it. The client complains of a sharp pain located in the right upper quadrant. How would the nurse best document this finding? a. Positive Psoas' sign b. Positive Murphy's sign c. Positive Rovsing's sign d. Positive Blumberg's sign
B
A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis E? a. A client who is sharing needles with others b. A client who has multiple tattoos c. A client who works in a child care center d. A client who has recently traveled to a underdeveloped country
D
What site should the nurse start auscultation with?
RLQ b/c bowel sounds are usually present in this area
where is the pain located at for Positive rovsing's sign
RLQ when palpating the LLQ indicates acute appendicitis or peritoneal irritation
What is the best position when assessing the abdomen for bladder distention?
Supine position w/ small pillow under the head
slightly skinny
flat
McBurney's point
acute appendicitis RLQ
what organ is located in the RLQ
appendix
Which hepatitis is most common in children b/c they don't wash their hands before eating
hep A
Which hepatitis has the transmission through fecal and oral route
hep A and hep E
Which hepatitis is transmitted sexually, blood, and blood products
hep B and hep D
which hepatitis is most common type with people who have tattoos
hep C
What does LLQ pain indicate?
diverticulosis
total incontinence
due to neurological conditions
reflex incontinence
due to spinal cord damage
What sound do you hear on percussion over the liver?
dull sound
