Abdominal (GI/GU/GYN)

Question 1

What are 2 signs of acute appendicitis?

Answer 1

Severe pain over McBurney’s point and nausea

Question 2

What is Rovsing sign? What is it a sign of?

Answer 2

Palpate LLQ and the patient feels pain in the RLQ. Sign of acute appendicitis.

Question 3

What is important to control for a patient with an abdominal aortic aneurysm?

Answer 3

Blood pressure

Question 4

What might a patient with a thoracic aortic aneurysm experience?

Answer 4

Difficulty swallowing

Question 5

What is a “hands off” finding to determine AAA?

Answer 5

A pulsating mass above the umbilicus

Question 6

What signs and symptoms are expected with a ruptured AAA? (3)

Answer 6

Decreased hematocrit, low back pain, decreased blood pressure

Question 7

What discharge instructions would you give to a patient after they had a laparoscopic cholecystectomy?

Answer 7

The patient can shower 24-48 hrs after surgery but no baths. Use the teach back method to ensure they understand.

Question 8

What is steatorrhea? What does steatorrhea indicate?

Answer 8

Steatorrhea is clay coloured stools. Acute cholecystitis- report this to the practitioner

Question 9

How do you treat steatorrhea?

Answer 9

Stay hydrated, antacids, antidiarrheals, vitamins and minerals (vit A, D, E, K, B12, folic acid, magnesium, iron, calcium).
Severe cases: IV fluids, antidiarrheals, PPIs, pancreatic enzyme replacement therapy, MHC oils

Question 10

What does orthostatic hypotension indicate in a patient with severe diarrhea and is common is older adults?

Answer 10

Fluid volume deficit

Question 11

What indicates improvement in a patient who has oliguria (<20ml/hr) from dehydration and sepsis?

Answer 11

Urinary output of 40ml/hr

Question 12

What outcome is important for a patient with a nursing diagnosis of fluid volume deficit related to fluid loss through diaphoresis?

Answer 12

The patient’s intake and output would be balanced for 24hrs.

Question 13

How often do you need to monitor vitals for a patient with an ectopic pregnancy?

Answer 13

Every 15-30 mins even if the patient requests you not to.

Question 14

Signs of ectopic prenancy?

Answer 14

Syncope (feeling faint), abdominal pain, shoulder tip pain, vaginal bleeding

Question 15

Do you expect a positive or negative Prehn’ sign with testicular torsion?

Answer 15

Negative- pain is not relieved when the testicle is lifted.

Question 16

Signs of testicle torsion?

Answer 16

Testis swelling, hard testis, nausea and vomiting, high riding testis