GEPN Health Assessment Final Exam Review

<p>Identifying abdominal tenderness and muscular resistance (A)</p> Signup and view all the answers

<p>Tympany (B)</p> Signup and view all the answers

<p>Orientation to person (D)</p> Signup and view all the answers

<p>Emotional state (C)</p> Signup and view all the answers

<p>Social interactions (B)</p> Signup and view all the answers

<p>An aortic aneurysm (A)</p> Signup and view all the answers

<p>Patient's rate of speech (D)</p> Signup and view all the answers

<p>Flat or expressionless face (C)</p> Signup and view all the answers

<p>It is always a sign of disease. (C)</p> Signup and view all the answers

<p>Auscultate without palpating. (B)</p> Signup and view all the answers

<p>Impaired orientation to time (D)</p> Signup and view all the answers

<p>Clothing suitable for the climate (D)</p> Signup and view all the answers

<p>Spleen (A)</p> Signup and view all the answers

<p>Emotional stability (C)</p> Signup and view all the answers

<p>Visceral pain (D)</p> Signup and view all the answers

<p>Voluntary abdominal wall contraction (C)</p> Signup and view all the answers

<p>Palpate the aorta (C)</p> Signup and view all the answers

<p>Kidneys (B)</p> Signup and view all the answers

<p>Peritonitis (B)</p> Signup and view all the answers

<p>6-12 cm (B)</p> Signup and view all the answers

<p>5-34 clicks/min (A)</p> Signup and view all the answers

<p>Tympany (B)</p> Signup and view all the answers

<p>Respiratory rate (D)</p> Signup and view all the answers

<p>To avoid altering bowel sounds (D)</p> Signup and view all the answers

<p>Presence of excess fluid or solid masses (C)</p> Signup and view all the answers

<p>Motor system assessment (B)</p> Signup and view all the answers

<p>Personal care and social interaction (C)</p> Signup and view all the answers

<p>Determining if they know the day of the week (C)</p> Signup and view all the answers

<p>Rate of speech (D)</p> Signup and view all the answers

<p>Flat affect regardless of the topic (C)</p> Signup and view all the answers

<p>The name of the hospital or clinic (B)</p> Signup and view all the answers

<p>Possible anxiety or mania (C)</p> Signup and view all the answers

<p>Emotional distress or anxiety (D)</p> Signup and view all the answers

<p>To avoid compressing a vessel that may be partially occluded (B)</p> Signup and view all the answers

<p>At the anterior axillary line (D)</p> Signup and view all the answers

<p>Parietal pain can be easily located (C)</p> Signup and view all the answers

<p>A possible peritoneal inflammation (C)</p> Signup and view all the answers

<p>Pain upon the release of pressure from the abdomen (A)</p> Signup and view all the answers

<p>Detection of bruits (C)</p> Signup and view all the answers

<p>Dullness is noted on percussion at the anterior axillary line (D)</p> Signup and view all the answers

<p>Proceeding with deep palpation of the abdomen (D)</p> Signup and view all the answers

<p>Normal size ranges from 2.5-3 cm (A)</p> Signup and view all the answers

<p>Appendicitis leading to peritonitis (A)</p> Signup and view all the answers

Systematic examination of the abdomen, evaluating organs, tissues, and their functions within the abdominal cavity.

Listening to the sounds produced by the organs within the abdomen, using a stethoscope.

Tapping on the abdomen to detect the presence of gas, fluids, or solid organs.

Feeling the abdomen by applying pressure to assess tenderness, organs.

5-34 clicks per minute, indicative of normal bowel function.

Patient's awareness of their surroundings and self, assessed by asking questions about person, place, time, and situation.

Aspects of a patient's mental state evaluated during a neurological assessment.

Evaluates patient posture, motor activity, clothing, grooming, and facial expressions.

Assessment of the patient's speech, including quantity, rate, loudness, and articulation.

Assessing the patient's physical stance for abnormalities like tension or restlessness.

Assessment of the patient's personal appearance and hygiene.

Assessing the patient's facial expressions to match the current interaction and topic.

Assess knowing person, place, time, and situation.

Murmur-like sounds in a vascular structure, caused by tumultuous blood flow in an artery.

Over the abdominal aorta, renal arteries, iliac arteries, and femoral arteries.

Listen to the abdomen before touching or feeling it.

Typically spans 6-12 cm.

An enlarged spleen, often 8 times more likely when palpable.

Hydronephrosis, cysts, and tumors can cause kidney enlargement.

Steady, aching pain aggravated by coughing or movement. It is usually more severe than visceral pain.

Gnawing, burning, or cramping pain that's difficult to localize.

Pain originating from a different location. For example, pain originating elsewhere that manifests in the abdomen

Voluntary contraction of abdominal muscles that can be involuntary during palpation, often accompanied by grimacing; usually a sign of peritoneal inflammation.

Does the patient know the time of day, day of the week, month, season, and year?

Does the patient know what has happened or is happening? Do they understand why they are there?

Assess the patient's physical stance for abnormalities like tension or restlessness.

Is the patient talkative or silent? Is it usual or unusual for them?

Is the patient's speech fast or slow?

Is the patient's speech loud or soft?

Are the words clear and distinct?

Evaluate if the patient's facial expression matches the topics being discussed. Look for expressions of anxiety, depression, apathy, anger, elation, or facial immobility.

The abdomen is divided into four quadrants. Each quadrant contains specific organs. Knowing their locations is essential for diagnosing medical conditions.

Auscultation, or listening to bowel sounds, is performed before palpation because palpation can alter the natural sounds produced by the intestines.

Percussion, tapping on the abdomen, helps assess the amount and distribution of gas, fluids, and solid organs.

Light palpation gently feels the abdomen for tenderness and superficial organs. Deep palpation goes deeper to assess organs and masses.

The normal liver span is 6-12 cm. This is measured by percussion to assess the liver's size.

Bruits are a murmur-like sound heard in a blood vessel, indicating turbulent blood flow through an artery.

Bruits are usually listened for over the abdominal aorta, renal arteries, iliac arteries, and femoral arteries.

Auscultating before palpating is important because palpation can compress already partially blocked arteries, making it difficult to hear the sounds.

Guarding is a voluntary contraction of abdominal muscles, often accompanied by grimacing, which can become involuntary during palpation. It's a sign of peritoneal inflammation.

Rebound tenderness is pain experienced when pressure on the abdomen is released. It's a sign of peritonitis, or inflammation of the peritoneum.