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Nursing Funds > abdomen/bowel > Flashcards

abdomen/bowel Flashcards

1
Q

what kind of assessment is an abdomen assessement?

A

complex assessment because of the organs located in the abdominal cavity
inspection
auscultation

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2
Q

Skin, umbilicus, contour and symmetry, enlarged organs or masses, movements or pulsations

A

inspection of the abdomen

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3
Q

Bowel motility:
- Peristalsis
- Borborygmi
Vascular sounds
-bruits
-kidney tenderness

A

auscultation of the abdomen

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4
Q

what are the four quadrants of the abdomen?

A

RUQ right upper quadrant
LUQ left upper quadrant
RLQ right lower quadrant
LLQ left lower quadrant

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5
Q

liver
gallbladder
duodenum
head of the pancreas
right adrenal gland
upper lobe of right kidney
hepatic flexure of colon
section of ascending colon
section of transverse colon

A

what is the right upper quadrant?

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6
Q

lower lobe of right kidney
section of ascending colon
right fallopian tube
right ovary
part of uterus (if enlarged)
right spermatic cord
cecum
appendix
right ureter

A

what is in the lower quadrant?

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7
Q

left lower part of liver
upper lobe of left kidney
spelenic flexure of colon
section of transvere colon
section of decening colo
stomach
spleen
pancereas
left adreanal g;and

A

what is in the left upper quadrant

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8
Q

lower lobe of left kidney
section of decending colon
left spermatic cord
part of uterus (if enlarged)
sigmoid colon
left ureter
left ovary (female)
left fallopian tube (female)

A

what is in the left lowe quadrant?

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9
Q

what do you need yo question when asking about abdomen history?

A

appette
weight gain or loss
dysphagia
intolerance to certain food
abdominal pain
nausea and vominting
bowel mvmt
any past abdomial problems

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10
Q

t/f age should effect general GI function

A

false unless assoicated with a diseas process

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11
Q

what increases with age?

A

constipation

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12
Q

what decreases with age?

A

Salivation, sense of taste, gastric acid secretion, esophageal emptying, liver size, bacterial flora

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13
Q

Nutrition
Allergies
Medications
Cigarette/tobacco
ETOH intake
Recreational drug use
Stool characteristics
Urine characteristics
Exposure to infectious disease
Recent stressful life events
Possibility of Pregnancy

A

what should you ask when giving a focused health history (dealing with abdomen)?

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14
Q

what are the steps for abdomen?

A

Inspection
Auscultation
Percussion
Palpation
Other tests depends on findings

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15
Q

UA
CBC
LFT(liver function test)

A

abdominal test for other finding

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16
Q

what should you make a patient do before assessment

A

make the void and get a sample if needed

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17
Q

assessment steps for patient abdomen assessment?

A

provide privacy
empty bladder before assessment
expose abdomen
position patient supine
palpate painful areas last

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18
Q
A

flat

19
Q
A

ascites
Accumulation of fluid in the peritoneal cavity
Portal Hypertension
Decreased Liver Function
Spider nevi (cutaneous angiomas)
Caput medusae
Visible or distended veins

20
Q
A

scaphoid

21
Q
A

rounded

22
Q
A

protuberant

23
Q

different hernias

A
24
Q

different hernias con’t

A
25
Q

Ostomies

A
26
Q

should you listen in all four quadrants?

A

yes count to 5

27
Q

what direction should you go?

A

clockwise

28
Q

a rumbling or gurgling noise made by the movement of fluid and gas in the intestines. Sometimes audible to the naked ear.

A

what is borborygmus?

29
Q

how long do you have to listen if you can’t hear anything

A

5 minutes if you hear no sounds and then you can doc no bowel should

30
Q

what should you not for abdomen assessment?

A

Note character & frequency of bowel sounds

31
Q

what is no bowel sounds?

A

a medical emergency; Possibly: paralytic ileus

32
Q

what could hyperactive sound mean?

A

obstruction = this can be an urgent situation

33
Q

what runs through the abdomen?

A

aorta

34
Q

what does percussion of dullness mean

A

solid masses fluid; Enlarged organs, palpable masses, distended bladder, ascites

35
Q

when should you perform palpation?

A

last

36
Q

what are you looking for when performing palpation?

A

detect tenderness, distention, or masses
may be light or deep
aortic pulsation

37
Q

what is referred pain?

A

Location of pain is not necessarily where the involved organ is!
May be felt where the organ was located in fetal development
ex.
spleen left shoulder pain
kidney groin pain

38
Q

what are meds associated with constipation?

A

laxatives or stool softeners

39
Q

what should you be concerned with if a patient has diarrhea?

A

hydration status; fluid and electrolytes

40
Q

what are procedures dealing with constipation?

A

Enemas or Suppositories

41
Q

what are meds associated with biarrhea

A

immodium

42
Q

what is the chart that help assess stool

A
43
Q

hemoptysis

A

coughing up blood

44
Q

hematemesis

A

vomits blood

Nursing Funds (17 decks)

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