NURS 6512 week 7 quiz

NURS 6512 week 7 quiz

•                                                 Question 1

Costovertebral angle tenderness should be assessed whenever you suspect the patient may have:

2 out of 2 points

Response Feedback:

Pyelonephritis is characterized by flank pain and costovertebral angle tenderness.

•                                                 Question 2

In older adults, overflow fecal incontinence is commonly due to:

2 out of 2 points

Response Feedback:

Constipation with overflow occurs when the rectum contains hard stool and soft feces above leak around the mass of stool.

•                                                 Question 3

2 out of 2 points

A 1-month-old boy has been vomiting for 2 weeks. How is this symptom of gastroesophageal reflux disease (GERD) and pyloric stenosis further differentiated in this child s assessment?

Response Feedback:

With pyloric stenosis, vomiting becomes projectile and a small olive-sized mass is palpable in the RUQ; the infant is usually hungry again soon after vomiting, and because little or no food is reaching the intestines, the infant has fewer, smaller stools. The child fails to thrive and has signs of dehydration.

These signs are not associated with GERD. Regurgitation can be present with either disease.

•                                                 Question 4

Auscultation of borborygmi is associated with:

2 out of 2 points

Response Feedback:

Borborygmi are prolonged loud gurgles that occur with gastroenteritis, early intestinal obstruction, or hunger. Peritonitis and paralytic ileus result in hypoactive bowel sounds. Food satiety does not stimulate growling sounds as hunger does. Vascular bruits are not associated with borborygmi.

•                                                 Question 5

2 out of 2 points

When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems?

Response Feedback:

Venous hum is associated with blood flow in venous collaterals found in portal hypertension. Aortic bruit occurs during systole, while a venous hum is a continuous sound and softer than a bruit. The other choices are not vascular sounds.