Lab 1

Question 1

Expected healthy stoma colour is

Answer 1

Moist & reddish pink

Question 2

If the stoma is on the right side, this means that the output is

Answer 2

watery

Question 3

Change the colostomy bag about every

Answer 3

2-4 days

Question 4

Empty the bag when it is about __ full

Answer 4

⅓

Question 5

Cut opening at least ___ larger than stoma to avoid pressure on it

Answer 5

⅛

Question 6

If stoma is protruding into bag, it is called ______.

Let pt rest for ______.

Answer 6

prolapse;

30 mins

Question 7

Inspection: abdomen should be _______

Answer 7

symmetrical

Question 8

Inspection:Umbilical contour should be located at ______

Answer 8

midline

Question 9

Inspection: Palpate for the pulse (____cm _____ umbilical)– should be only slight pulsation

Answer 9

8-10cm;

above

Question 10

Inspection: use the ___ side of the stethoscope.

Should there be a bruit sound?

Answer 10

Bell;

NO

Question 11

Auscultation: begin at _________

Answer 11

right lower quadrant

Question 12

Auscultation: use the ___ side of the stethoscope.

Answer 12

diaphragm

Question 13

Percussion: predominant sound should be ______ over air-filled structures like ___________

Answer 13

tympany;

small intestine & large intestine

Question 14

Percussion: ______ should be heard over solid organs like ___________

Answer 14

dullness;

liver & spleen

Question 15

Percussion: ______ is heard when there is distended abdomen

Answer 15

hyperresonance

Question 16

Percussion: RLQ dull indicates the ______ of the liver

Answer 16

lower border

Question 17

Palpation: light (___ cm in depth)

Assess for ______

Answer 17

1cm;

tenderness

Question 18

Palpation: deep (___ cm in depth)

Check for ______

Answer 18

5-6cm;

lumps

Question 19

Describe ascites assessment

Answer 19

1. pt in supine
2. ask pt to place hand at mid-line of abdomen
3. you place palms at both sides of pt’s abdomen
4. pat gently at 1 side
5. if ascites is present: you will feel fluid waves being transmitted to the opp. side of the abdomen

Question 20

The 3 types of appendicitis assessment

Answer 20

1. rebound tenderness
2. obturator sign
3. psoas sign

Question 21

Describe rebound tenderness

Answer 21

(Roving’s sign)

1. if pt report pain on R side (common)
2. initiate rebound tenderness method at L side
3. palpate deeply at 90 deg on L side
4. at 5-6cm depth, release pressure suddenly
5. pt will perceive sharp stabbing pain – suggests that there is peritoneal irritation

Question 22

Describe obturator sign

Answer 22

1. flex pt’s hip & knee
2. support pt’s R knee & ankle
3. rotate the leg internally & externally
4. if pain is at R lower quadrant – may be appendicitis

Question 23

Describe psoas sign

Answer 23

1. pt lie on L side
2. hyperextend R leg
3. if pain at R lower quad– may be appendicitis

Question 24

Define embolus

Answer 24

Foreign body or air in the circulatory system

Question 25

For surgery: what should you do if pt is diagnosed with HIV/hep B & c?

Answer 25

Wear protective eyewear

Question 26

Surgical handrub: scrub from _______ to _______ 1 way only, dont return to different areas as it might cause ________

Answer 26

fingers to elbows; contamination

Question 27

Surgical handrub: rinse from _______ to _______ in the ____ motion

Answer 27

fingers to elbows; | upwards motion

Question 28

Surgical handrub: Wet hands, arms, forearms to ____cm above elbows

Answer 28

5cm

Question 29

Surgical handrub: Following steps 1-8, each step consists of _____ strokes

Answer 29

15

Question 30

Surgical handrub: Scrub cuticles followed by fingernails each for _____ strokes

Answer 30

30

Question 31

Most stomas shld subside swelling aft ______

Answer 31

6 wks

Question 32

If stoma is: it means that... Pale: Dark/purple-blue:

Answer 32

Pale: may indicate anemia | Dark/purple-blue: compromised circulation or ischemia

Question 33

Inspection: if there is bruit sound, may be an indication of ______________

Answer 33

aneurysm (bulge in blood vessel)