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nursing > 2410wk3&4 (exam1) > Flashcards

2410wk3&4 (exam1) Flashcards

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1
Q

describe CAGE ?s (alcohol)

A 
C= Concerned about PT's drinking/ Cutting down
A= Annoyance of criticism about drinking
G= Guilty about drinking or some action while drinking
E= Eye-opener drink needed in morning
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2
Q

describe HITS (domestic violence)

A

Hurt you?
Insult you?
Threaten
Scream

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3
Q

FICA (spirituality)

A

Faith
Importance
Community
Address axn in care: how does faith affect PT care

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4
Q

History of present illness 8 characteristics

A 
location
character/quality
quantity severity
timing 
setting: what brings it on
aggravating or relieving factors
associated factors
patient perception
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5
Q

what is PQRSTU

A 
provocative/palliative
quantity quality
region radiation
severity
timing
understanding (PT's understanding of problem)
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6
Q

what part of health history does cc (chief complaint) go under

A

reason for seeking care

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7
Q

I.D. what part of health history these fall under
accidents/injuries
childhood illness
hospitalizations

A

past medical history

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8
Q

I.D. what part of health history these fall under
operations
pregnancy and progeny
serious illness

A

past medical history

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9
Q 
I.D. what part of health history these fall under
immunization hx
last exam
allergies
current Rx
A

past medical history

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10
Q

purpose of review of systems (3)

A
  • evaluate past and present health state of each body system
  • double check for signficant data omitted
  • evaluate health promotion practices
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11
Q

I.D. what part of health history these fall under
self esteem
ADL
Exercise

A

functional assessment

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12
Q

I.D. what part of health history these fall under
sleep/rest
nutrition/elimination
relationships

A

func. assessment

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13
Q

I.D. what part of health history these fall under
spirituality
coping/stress
habits

A

func. assessment

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14
Q

I.D. what part of health history these fall under
environmental hazards
intimate partner violence
occupational health

A

functional assessment

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15
Q

landmarks of abdomen

A

anterior: costal margin
posterior: symphsis pubis anterior iliac crest
central: umbilicus

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16
Q

organs of RUQ (7)

A 
liver
gallbladder
duodenum
tail of pancreas
kidney/adrenal
hepatic flexure
ascending & transverse colon
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17
Q

organs of LUQ (7)

A 
stomach
spleen
left liver lube
body of pancreas
kidney adrenal
splenic flexure
transverse & descending colon
18
Q

RLQ

A

cecum
appendix
ovary & tube/spermatic cord
ureter

19
Q

LLQ

A

part of descending colon
sigmoid
ovary & tube/ spermatic cord
ureter

20
Q

developmental considerations for infants ab

A

liver takes up more space
.5-2.5 cm below costal border
bladder lies higher
less musculature

21
Q

developmental considerations pregnancy

A 
BS hypoactive, GI motility less
constipation
appendicitis difficult to diagnose
skin changes of ab
hemorroids
22
Q

developmental consideration elderly

A 
increased fat deposits
musculature relaxed
liver size decreases
esophageal emptying delay (increase risk of aspiration)
higher incidence of gallstones
23
Q

cultural considerations

A

lactose intolerance

24
Q

dysphagia vs dysphasia

A

dysphagia difficulty swallowing

dysphasia: difficulty with speech

25
Q

3 types of ab pain and quality

A

visceral: dull poorly localized (from organ stretch)
parietal(somatic): inflamm over peritoneum, sharp well localized
referred: disorder in another site

26
Q

3 possible sources of hematemesis & associated symptoms

A

stomach duodenal esophogeal cancers

colicky pain, N/V/D fever chills

27
Q

of days w/o BM that indicate constipation
blood in GI tract
site of bleeding if stool is black vs red

A
  1. 3 or more
  2. melena
  3. black upper GI, red lower GI
28
Q 
umbilicus variations
everted
inverted
enlarged
cullen's sign
A
  1. ascites, mass, or pregnancy
  2. obese
  3. umbilical hernia
  4. bluish discoloration indic. of intraperitoneal bleeding
29
Q

what would cause abnorm pulsations in abdom.

A

HTN, aortic aneurysm hyperthyroidism

30
Q

normal range for Bowel sounds BS
where are BS always present
term for lots of BS
what causes hypoactive BS

A

5-30 a minute
RLQ b/c of ileoceccal valve
borborybmus
surgery or inflammation of peritoneum

31
Q

4 sites of vascular asculation

A

aorta, renal, iliac, and femoral

32
Q

percussing for liver span

A

begin RMCL in lung resonance until dullness percussed (5th or 6th ICS) and then percuss from site of abdom tympany until dullness (6-12cm)

33
Q

percussing spleen

A

9th to 11th ICS MAL (castell’s point) should hear tympany unless splenomegaly (dullness)

34
Q

site of costovertebral angle tenderness

A

12th rib

35
Q

what does positive wave test indicate

A

ascites ->cirrhosis, hepatitis, <3 failure

36
Q

differentiation between inflammation & organ distention

A

inflamm: pain is unchanged or increased with pressure

organ distention: decrease with pressure

37
Q

whats rebound tenderness & indicative of…
inspiratory arrest
ilopsoas muscle test
obturator test

A
  1. blumberg’s sign for peritoneal inflamm
  2. murphy’s sign for inflamm of gallbladder
  3. pushing down on (R) leg causing pain in RLQ indicates apendicitis
  4. pt supine while holding ankle rotating bent knee inward (apendicitis)
38
Q

what is mcburney’s point and what does pain @ this sight indicate

A

midpoint between iliac crest and umbilicus, apendicitis

39
Q

4 types of abdom hernias

A
  1. ventral: soft mass that protrudes into ab wall in weak spots
  2. umbilical hernia: congenital seen best when crying or straining
  3. epiplocele defect in the ab wall in the midline above umbilicus
  4. diastasis recti separation of rectus sheath occurs in obesity & mulitparous
40
Q

define ileus, when does it occur why

A

stopped bowel funx, after surgery b/c of anesthesia

nursing (15 decks)

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