Exam 3 Weeks 9 - 12: NU650 NU

Exam 3 (Weeks 9 - 12): NU650 / NU

650 (Latest Update 2025 / 2026) Advanced Health Assessment / Nursing | Questions and Answers | 100% Correct | Grade A - Regis

Question:

history, assessment findings, and diagnostic tools associated with cholecystitis?

Answer:

history/risks - more common in adult females. colicky pain that progresses to constant in the RUQ which can radiate to the shoulder/scapular area. may have N/V, dark or light stools.

assessment findings - RUQ tenderness with percussion/palpation. gallbladder MAY be palpable. Positive murphy’s sign.

diagnostic tests - CBC with diff., ultrasound, x-ray, serum amylase and lipase

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Question:

Abdominal quadrants and organs

Answer:

RUQ - liver, gallbladder, head of pancreas, hepatic flexure of colon (think diverticulitis, gallbladder issues) LUQ - stomach, spleen, body of pancreas, transverse and part of descending colon RLQ - appendix, right ovary/fallopian tube, ascending colon LLQ - descending and sigmoid colon, left ovary/uterine tube

Question:

What questions should be included in the HPI for abdominal concerns?

Answer:

is pain acute or chronic?

is there indigestion, regurgitation, nausea, vomiting, hematemesis?

Dysphagia or odynophagia (painful swallowing)?

changes in bowels, constipation, diarrhea, melena?

Urinary questions:

suprapubic pain, flank pain? 2 / 4

dysuria, urgency, frequency, incontinence, polyuria, nocturia?Hesitancy, hematuria?

Question:

What is visceral pain?

Answer:

pain when hollow organs are stretched or distended (i.e., intestine, billiary tract)

May be difficult to localize

described as burning, cramping, aching

Question:

What is Somatic pain?

Answer:

pain from inflammation of parietal peritoneum

described as steady, aching, severe

more precisely localized 3 / 4

Question:

What is referred pain?

Answer:

pain at distant sites innervated at approx. the same spinal level as the affected structure

ex: pain from the chest, spine, or pelvis may be referred to the abdomen

Question:

What are health maintenance practices for hepatitis?

Answer:

Hepatitis A Vaccination - all children at age 1; individuals with chronic liver disease; groups at risk (travelers, gay men, IV drug users, people with clotting disorders)

Hepatitis B Vaccination - all adults in high risk settings (STI clinics, HIV testing, correctional facilities, gay men, hemodialysis), people with exposure to blood (IV drug users, health care workers), sex workers.

Hepatitis C - no vaccine

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