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NURS 1145 > Wk 4 GI assessment W/ Prostate & Urinary Exam > Flashcards

Wk 4 GI assessment W/ Prostate & Urinary Exam Flashcards

1
Q

Order of assessment in GI

A

Inspection
Ausculation
Percussion
Palpation

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2
Q

dysphagia

A

Difficulty swallowing

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3
Q

Melena

A

Black sticky stools with digested blood

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4
Q

Name of chart that codified poop from 1 (Hardest) - 7 (Entire Liquid)

A

Bristol Stool Chart

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5
Q

The abbreviation _____, and that means “as the thing is needed

A

pro re nata

PRN

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6
Q

the point over the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus (navel).

Appendicitis

A

Mcburney’s

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7
Q

Measure abdominal girth where?

A

Superior Iliad crests

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8
Q

Percuss (indirect) all quadrants for tones

Suprapubic area percussion tone Dull would indicate this problem

A

Urinary bladder distended

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9
Q

A dull note in the abdomen implies….

A

An underlying mass is solid or filled with fluid.

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10
Q

Shifting dullness and fluid thrill (wave) are clinical signs that confirm

A

Ascites

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11
Q

Ascites is a medical condition characterized by….

A

an abnormal accumulation of fluid in the abdominal cavity, specifically within the peritoneal space.

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12
Q

Ascites

Disease associated with

A

Chrosis of liver, heart failure, kidney disease, some cancers

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13
Q

A fluid wave test is a physical examination technique used by healthcare professionals to detect the presence of ____

A

Ascites

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14
Q

Percuss the abdomen laterally listening for tympanic/ dull sounds. Note when dull.

Have paitent roll towards you, and if a spot that was previously dull is now tympanic this is called_____

Used to check for ascites

A

shifting dullness

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15
Q

The health provider will hav3 the paitent place one hand on the midline of the abdomen and tap one flank while they feel for______ on the other

This test is call3d

It it checking for

A

Fluid wave (thrill)

Ascities

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16
Q

Ballottement:

Purpose

Technique

A

Assess abdomen for floating mass

Bimanual palpations Anterior and Posterior

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17
Q

_____ is a medical indicator that helps doctors diagnose appendicitis. It’s found by pressing on a specific spot in the right lower abdomen, located about one-third of the way from the hip bone to the navel. If this spot is tender or painful when pressed, it suggests inflammation of the appendix,

A

McBurney’s sign

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18
Q

______ is the reflexive tensing of the abdominal muscles in response to pain or discomfort, serving as a protective mechanism for the internal organs in the abdominal cavity.

A

Abdominal guarding

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19
Q

Rovsing’s sign is when

Signal that what my be happening inside the body

A

There is pain in the RLQ when the LLQ is pressed

Appendicitis

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20
Q

Inspiratory arrest is associated with this test for the Gallbladder

A

Murphy’s test

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21
Q

Rebound tenderness is associated with this test for appendicitis

A

Blumberg’s sign

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22
Q

Iliopsoas test

Describe procedure

Associated disease

A

The test involves extending the leg of a patient while they are lying down, and if this movement causes pain in the lower right abdomen, it can be an indicator of iliopsoas muscle irritation or an underlying issue in the abdominal or pelvic region.

Appendicitis

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23
Q

Obturator muscle test

Associated diseases

A

Patient lying down, with their hip and knee bent at a 90-degree angle, Examiner internally rotates the patient’s leg.

Appendicitis

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24
Q

All digestive functions slow or weaken with age

Reduction in parietal cells, which secrete intrinsic factor

What does intrinsic factors do

A

Absorb vitamin B¹²

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25
Q

An abdominal ultrasound, also known as a _____, is a medical imaging technique that uses high-frequency sound waves to create images

A

Sonogram

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26
Q

_____ is an Endoscope ( a tube with a camera at the end)

Diagnose and treat problems like gallstones, pancreatitis, bile duct blockages, and certain cancers. It can also be used to remove gallstones or place stents to keep the bile ducts open.

A

ERCP

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27
Q

Anal fistuals

A

A tunnel that forms between the anus and a hole created by infection to the outside of adjacent skin

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28
Q

Black or dark, non-tarry stools

Possible problem

A

Medication

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29
Q

Guaiac test

A

Used for Occult stool

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30
Q

pilonidal cyst

A

Sac-like structure that forms near the top of the buttocks, often at the cleft between the buttocks.

It typically contains hair, skin debris, and can become infected

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31
Q

Pruritus ani

A

itching or irritation of the skin around the anus.

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32
Q

Frequent urination, especially at night (nocturia).
Difficulty starting and stopping urination.
Weak urine flow.
Incomplete emptying of the bladder.
Urinary urgency

Describes this non-harmful condition

A

Benign prostatic hyperplasia

Enlarged prostate

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33
Q

Endoscopic retrograde cholangiopancreatography (ERCP)

Is what

Used for

A

Endoscope with xray

diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas.

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34
Q

Murphy’s test is used to check for

A

cholecystitis, an inflammation of the gallbladder.

35
Q

Patient takes a deep breath and exhales. While exhaling, the provider uses their fingers to palpate the area under the ribs on the right side.

The patient is instructed to inhale deeply during this process.

If the patient abruptly stops inhaling due to pain, it is considered a positive

Name of test

Name of Organ testing

A

Murphy’s test

Gallbladder

36
Q

Dark Brown or Amber Urine:

Possible Causes:

A

Dehydration, liver problems, hemolysis (breakdown of red blood cells), or the use of certain medications

37
Q

Cloudy or Turbid Urine:

Possible Causes:

A

Infection, such as a urinary tract infection, or the presence of crystals, mucus, or other substances in the urine.

38
Q

Orange Urine:

Possible Causes:

A

Dehydration, certain medications, or medical conditions affecting the liver or bile ducts.

39
Q

____ is a type of cancer that begins in the epithelial cells,

A

Carcinoma

40
Q

Anthelmintic enemas are administered to…

A

Destroy parasites

41
Q

Oil retention enemas are used to…

A

Lubricate the stool and intestinal mucosa, making dedication easier

42
Q

Carminative enemas help …

A

To expel flatus

43
Q

Nutritive enemas are administered to

A

Replenish fluids and nutrition

44
Q

The goal of cleansing enema is to _____, which should increase bowel sounds

A

Increase peristalsis

45
Q

benign prostatic hyperplasia (BPH), can cause….

A

frequent urination
difficulty starting and stopping
weak urine flow
feeling of incomplete emptyin

46
Q

Which main organ is found in the epigastric region

A

Stomach

47
Q

Which main organ is found in the umbilical region

A

Intestine

48
Q

Which main organ is found in the hypogadtric region

A

Bladder

49
Q

A pale Ostomy is associated with which disease

A

Anemia

50
Q

Why no food after surgery

A

Anestesia can cause lack of bowle movement which is needed for digestion

51
Q

Percussion sound. Upper right = Dull is this a normal finding

A

Yes, this is the liver

It’s percussion sound is dull

52
Q

Percussion sound: Suprapubic sounds dull. Is this a normal finding

A

No, it means bladder is distended

53
Q

Which organ do we have to becareful not to percuss

A

Spleen

54
Q

Rebound tenderness is associated with this “sign”

A

Mcburney’s sign

55
Q

Rovsing’s sign is associated with….

A

Tenderness in the RLQ when the LLQ is palpates

Apendicitis

56
Q

The “Sign” associated with a sudden stop in inspiration when checking for Cholecystitis

A

Murphy’s sign

57
Q

Stress incontinence can be improved by….

A

Keegel exercises

58
Q

What is the treatment for a rectal abcess

A

Cut it out then antibiotics

59
Q

Order of assessment in GI / GU

Correct

A

Inspection
Ausculation
Percussion
Palpation

60
Q

Ileus

A

Inability of the intestine (bowel) to contract normally and move waste out of the body.

61
Q

An enlarged spleen from an infection may happen from this disease

A

Mono

62
Q

With shifting Dullness when laying supine and being percussed on the Top sound will be emitted.

Side?

When turned on thier side and percussed from the top sound emitted

Side?

A

Tympanny/ Dullness

Tympanny/ Dullness

63
Q

Dermoid cyst

A

A cyst that is created that contains: hair, teeth, neural tissue

64
Q

As we age the liver gets (smaller / bigger) and we are prescribed (more / less ) medications

A

Smaller / less

65
Q

Primary Prevention GI / GU

Secondary Prevention

A

1st High Fiber Diet

2nd Occult blood test, Colonoscopy

66
Q

Common posistion to do a rectal exam

A

Left lateral

67
Q

Report of poop on the underwear but it didn’t come from anus is this condition

A

Anal fistula.

68
Q

Supine, flexes right leg at hip and knee.

Place 1 hand above knee, other at ankle

Rotate leg internally and externally

Pain results from irritation of _____ muscle

Name of test & what it is looking for

CORRECT

A

Obturator test

Appendicitis

69
Q

Client supine

Examiner applies pressure to lower thigh while client attempts to flex hip.

Pain results from irritation of ____ muscle

Associated with peritoneal irritation

Which disease is it associated with

A

Iliopsoas muscle test

Appendicitis

70
Q

Do you percuss the abdomen?

A

Yes, indirectly

71
Q

Which technique is used to find Liver Span

A

Percuss, indirectly

72
Q

Which landmarks do you percuss from in the Liver Span test

A

Umbilicus Tympanny upward to Dullness

Lungs Resonance downward to Dullness

73
Q

Percuss Kidneys at _____ for tenderness

A

costovertebral angle

74
Q

If fluid is suspected in abdomen “ascites” do these 2 test

A

Shifting dullness

Fluid wave

75
Q

Positive shifting dullness test Ascites present

Area of (Dullness / Tympany) will shift to dependent side.

Area of (Dullness / Tympany) will shift toward the top.

A

Dullness to dependent

Tympany to top

76
Q

This technique is used to find a Fetus, floating mass, patellar effusion (abnormal collection of fluid in the body )

A

Ballottement test

apply downward pressure towards the foot with one hand, while pushing the patella backwards against the femur with one finger of the opposite hand.

77
Q

_____ sign to test for an appendicitis uses Rebound pain as an indicator

Correct

A

Mcburney’s sign

78
Q

Guarding is when ab muscles tense up during palpation

Indication of Peritonitis

What is Peritonitis

A

Inflammation of Peritoneum

79
Q

Rebound tenderness is aka

Correct

A

Blumberg’s sign

80
Q

Inspiratory arrest associated with cholecystitis is associated with this process/sign

A

Murphy’s

81
Q

Borborygmus is…

A

Hyperactive bowel sounds

82
Q

ERCP is…

A

procedure to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas.

83
Q

Acute cystitis may indicate progressive Prostate obstruction

What is cystitis

A

Bladder inflammation

NURS 1145 (11 decks)

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