Abdominal Quiz Flashcards
A patient is having difficulty swallowing meds and food, how should the nurse document this?
Dysphagia
The nurse is percussing the 7th right intercostal space at the midclavicular line over the liver, what should the nurse hear?
Dullness
What structure is located in the left lower quadrant of the abdomen
Sigmoid colon
The nurse suspects a patient has a distended bladder, how should the nurse assess for this condition
Percuss and palpate the midline area above the suprapubic bone
The nurse is aware that what change may occur in the GI system with aging?
Decreased gastric acid secretion
A 22 year old male comes to the clinic for an exam after falling off his motorcycle and landing on his left side on the handle bars. The nurse suspects that he may have injured his spleen. Which of these assessments is for the spleen?
The spleen should not be palpated because it is easily ruptured
A patient’s abdomen is bulging and stretched in appearance. How should the nurse document this finding?
Protuberant
The nurse is describing a scaphoid abdomen. When assessing the contour of the abdomen from the rib margin to the pubic bone, what would the contour look like
Concave
While examining a patient, the nurse observes abdominal pulsations between the xiphoid process and umbilicus. What does the nurse suspect?
Normal abdominal aortic pulsations
A patient has hypoactive bowel sounds. What is a possible cause of this finding?
Peritonitis
The nurse is watching a new graduate nurse perform auscultation of a patient’s abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?
“Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation”
Are bowel sounds high or low pitched?
High
Abdominalborborygmi is described as what?
Loud gurgling bowel sounds
During an abdominal assessment, the nurse would consider which of these findings as normal?
a. Presence of a bruit in the femoral area
b. Tympanic percussion note in the umbilical region
C. Palpable spleen between the ninth and eleventh ribs in the left midaxillary line
d. Dull percussion note in the left upper quadrant at the midclavicular line
B
The nurse is assessing the abdomen of a pregnant woman who is complaining of having acid indigestion all the time. The nurse knows that esophageal reflux during pregnancy can cause:
a. Diarrhea.
b. Руrosis.
с. Dysphagia
d. Constipation.
B
The nurse is performing percussion during an abdominal assessment. Percussion notes heard during the abdominal assessment may include:
a. Flatness, resonance, and dullness.
b. Resonance, dullness, and tympany.
c. Tympany, hyperresonance, and dullness
d. Resonance, hyperresonance, and flatness.
C
An older patient has been diagnosed with pernicious anemia. The nurse knows that this condition could be related to:
a. Increased gastric acid secretion.
b. Decreased gastric acid secretion.
с. Delayed gastrointestinal emptying time.
d. Increased gastrointestinal emptying time.
B
A patient is complaining of a sharp pain along the costovertebral angles. The nurse is aware that this symptom is most often indicative of:
a. Ovary infection.
b. Liver enlargement.
с. Kidney inflammation.
d. Spleen enlargement.
C
A nurse notices that a patient has ascites, which indicates the presence of:
a. Fluid
b. Feces
с. Flatus.
d. Fibroid tumors.
A
The nurse knows that during an abdominal assessment, deep palpation is used to determine:
a. Bowel motility.
b. Enlarged organs
с. Superficial tenderness.
d. Overall impression of skin surface and superficial musculature.
B
The nurse notices that a patient has had a black, tarry stool and recalls that a possible cause would be:
a. Gallbladder disease.
b. Overuse of laxatives.
c. Gastrointestinal bleeding.
d. Localized bleeding around the anus.
C
During an abdominal assessment, The nurse elicits tenderness on light palpation in the right lower quadrant. The nurse interprets that this finding could indicate a disorder of which of these structures?
a. Spleen
b. Sigmoid
с. Appendix
d. Gallbladder
C
The nurse is assessing the abdomen of an older adult. Which statement regarding the older adult and abdominal assessment is true?
a. Abdominal tone is increased.
b. Abdominal musculature is thinner.
с. Abdominal rigidity with an acute abdominal condition is more common.
d. The older adult with an acute abdominal condition complains more about pain than the younger person.
B
During an assessment of a newborn infant, the nurse recalls that pyloric stenosis would be exhibited by:
a. Projectile vomiting.
b. Hypoactive bowel activity.
с. Palpable olive-sized mass in the right lower quadrant.
d. Pronounced peristaltic waves crossing from right to left.
A