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Heath Assesment > Chp 23 Assessing Abdomen > Flashcards

Chp 23 Assessing Abdomen Flashcards

1
Q

Flow of the intestines?

A

Left lower, left upper, right upper, right lower

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2
Q

Where is the ascending colon?

A

RUQ

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3
Q

Where is the duodenum in the abdomen?

A

RUQ

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4
Q

Where is the liver?

A

RUQ

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5
Q

Where is the pancreatic head?

A

RUQ

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6
Q

Where is the pylorus located in the abdomen?

A

RUQ

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7
Q

Where is the appendix?

A

RLQ

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8
Q

Where is the ascending colon located?

A

RLQ

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9
Q

Where is the cecum located?

A

RLQ

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10
Q

Uterus is located in which quadrants?

A

Right and left lower quadrant

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11
Q

What quadrants are the kidneys located in?

A

Right and left upper quadrant

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12
Q

Where is the pancreas located?

A

LUQ

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13
Q

Where is the spleen located?

A

LUQ

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14
Q

Where is the stomach located?

A

LUQ

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15
Q

Where is the epigastric region?

A

Upper mid abdomen

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16
Q

Where is the umbilical region?

A

Center of abdomen

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17
Q

Where are the right and left hypochondriac region?

A

Upper right and left areas

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18
Q

Where are the right and left iliac regions?

A

Lower left and right areas

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19
Q

Where is the hypogastric region?

A

Lower middle

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20
Q

Three layers from back around flanks, to front

A

External abdominal oblique, internal oblique, transverse abdominis

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21
Q

Solid viscera organs?

A

Liver, pancreas, spleen, adrenal glands, kidneys, ovaries, uterus

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22
Q

Hollow viscera organs?

A

Stomach, gallbladder, small intestine, colon, bladder

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23
Q

What groups have 40%-50% higher risk for gastric cancer?

A

Blacks, Hispanics, Asian, Pacific Islanders

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24
Q

Asian Americans have lower rates of what compared to US population?

A

Esophageal adenocarcinoma

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25
Q

What disease affects women more than men?

A

Gallbladder disease

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26
Q

What are keloids?

A

Excess scar tissue from trauma or surgery

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27
Q

What area would appendix pain include?

A

Peri umbilical area to RLQ

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28
Q

What area would flank pain include?

A

Kidney radiating down the lower abdomen from the ureter

29
Q

General routine screening steps?

A

Observe coloration, umbilicus, contour/symmetry, aortic pulsations and peristaltic waves

Auscultation bowel sounds,

Percuss tones over four quadrants

Palpate four quadrants

30
Q

What is the order of assessment for abdomen?

A

Inspection
Auscultation
Percussion
Palpation

31
Q

What sounds to look out for when auscultating?

A

Bowel sounds, vascular sounds, venous hums, friction rub over liver spleen

32
Q

How to test for appendicitis?

A

Assess for rebound tenderness

33
Q

Testing for ascites (fluid build up in abdomen)

A

Test for shifting dullness
Perform fluid wave test

34
Q

Testing for cholecystitis?

A

Asses RUQ for tenderness

35
Q

Psoas sign

A

Pain in RLQ when leg hyperextended

36
Q

Obturator sign

A

Pain in RLQ when hip and knee flexed and leg rotated internally and externally

37
Q

Murphy sign

A

Pain when pressure applied under liver border or right costal margin and client inhaled deeply

38
Q

When do you assess the width of the aorta?

A

Is older than 50 or has hypertension

39
Q

What are peptic ulcers?

A

An open sore that forms in the lining of the esophagus stomach or small intestine

40
Q

What are some controllable risk factors that cause peptic ulcers?

A

Smoking, alcohol, spicy foods, NSAID, stress, H. pylori, family, history, radiation treatments, Zollinger Ellison syndrome

41
Q

What is Zollinger Ellison syndrome?

A

A rare tumor in the pancreas

42
Q

What is GERD?

A

Stomach or gastric acid it’s low back into the esophagus

43
Q

What are some risk factors of GERD?

A

Obesity, pregnancy, smoking, dry mouth, diabetes, asthma

44
Q

What should you educate a client that has GERD on?

A

Avoiding alcohol and tobacco, eating 5 to 6 small meals, a day, not lying down for at least two hours after eating

45
Q

What does the fluid waived test check for?

A

Ascites (abnormal buildup of fluid in the abdomen)

46
Q

What does the Murphy sign test for?

A

Cholecystitis (inflammation of the gallbladder)

47
Q

What do psoas sign an obturator signs test for?

A

Appendicitis

48
Q

The abdomen is bordered superiorly by?

A

The coastal margins

49
Q

The afternoon is bordered inferiorly by?

A

The symphysis pubis and inguinal canals

50
Q

The afternoon is bordered by the?

A

Flanks

51
Q

What is the purpose of the abdominal wall muscles?

A

To protect internal organs

52
Q

What are the different body systems of the abdomen?

A

Gastrointestinal, reproductive, lymphatic, urinary

53
Q

Solid visceral organs

A

Liver, pancreas, spleen, adrenal glands, kidneys, ovaries, uterus

54
Q

Hollow viscera organs

A

Stomach, gallbladder, small intestine, colon, bladder

55
Q

Hey sera that is not normally palpable

A

Pancreas spleen, stomach, gallbladder, small intestine

56
Q

What are the vascular structures in the abdominal region?

A

Abdominal aorta, right and left iliac arteries

57
Q

Risk factors for peptic ulcer disease

A

H pylori, excessive alcohol, NSAIDs, smoking illness, radiation, Zollinger Ellison syndrome

58
Q

Risk factors for GERD

A

Obesity, hernia, pregnancy, smoking, dry mouth, asthma, diabetes, scleroderma alcohol

59
Q

What is the method of collection of accurate nursing history in regards to the clients abdomen?

A

Current symptoms past history, family, history lifestyle

60
Q

Steps to prepare a client for an abdominal examination

A

Empty the bladder, gown, supine, drape for client, breath through mouth

61
Q

List the equipment needed for an abdominal examination

A

Pillow or blanket, centimeter ruler, stethoscope, pen, gown

62
Q

Steps of examining the abdomen

A

Inspect auscultate percuss palpate

63
Q

Describe the order to listen to bowel sounds

A

Right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant

64
Q

What are the five different tests for appendicitis?

A

Rebound tenderness, referred, rebound tenderness, psoas sign, obturator sign, hyper sensitivity test

65
Q

What test do you use to detect cholecystitis?

A

Murphy sign, right upper quadrant pain

66
Q

What is visceral pain?

A

Hollow abdominal organs become distended or contract forcefully

67
Q

What is parietal pain?

A

When the parietal peritoneum becomes inflamed

68
Q

What is referred pain?

A

The travels from the primary site and becomes highly localized at the distance site

69
Q

What are abnormal findings of the abdomen?

A

Enlarged liver, spleen, kidney gallbladder, liver higher than normal, aortic aneurysm

Heath Assesment (5 decks)

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