Elimination

Question 1

What are the 9 quadrants of the abdomen?

Answer 1

Right and left hypchondriac
Right and left lumbar
Right and left iliac/inguinal
Hypogastric 
Umbilical
Epigastric

Question 2

What is the best position for the patient to lay in if doing a bowel assessment?

Answer 2

Supine position with a pillow underneath their knees and head

Question 3

How does pregnancy affect elimination?

Answer 3

It puts pressure on the organs responsible for elimination

Question 4

How does old age affect elimination?

Answer 4

Old age causes a gradual decrease in secretions, peristalsis, and intestinal absorption

Question 5

What is gastroschsis?

Answer 5

An abdominal wall defect that occurs on the side of the umbilical cord
The baby is born with intestines protruding. There is no protective sac around the intestines

Question 6

What is omphalocele?

Answer 6

The intestines protruding out of an infant, but with a protective sac around the intestines

Question 7

What is the normal white blood cell count?

Answer 7

5,000-10,000

Question 8

What kind of things would be tested to assess elimination function?

Answer 8

1. CBC
2. H. pylori
3. liver enzymes
4. Pancreatic enzymes
5. KUB (kidney, ureter, and bladder)
6. Esphagealgastroduodenoscopy
7. Colonoscopy

Question 9

What do normal bowels look like?

Answer 9

Smooth

Question 10

Are weight changes subjective or objective data?

Answer 10

Subjective data

Question 11

Are nausea, vomiting, or indigestion subjective or objective data?

Answer 11

Subjective

Question 12

In what order would a nurse do a bowel assessment?

Answer 12

1. inspection
2. Auscultation
3. Percussion
4. Palpation

Question 13

What should the abdomen normally look like?

Answer 13

flat, no bulging masses and no pulsations

Question 14

What should the nurse look for when inspecting the abdomen?

Answer 14

check color, contour, symmetry, and distention

Question 15

How should a nurse palpate the abdomen?

Answer 15

The nurse should palpate from light to deep pressure

Question 16

Palpation of the bladder is where on the body?

Answer 16

The supra pubic region

Question 17

If the nurse feels the bladder above supra pubic region what could that indicate?

Answer 17

Bladder distention

Question 18

Before making a bowel assessment what should you have the patient do?

Answer 18

Empty the bladder

Question 19

If there is dullness felt during palpation of the abdomen what could that indicate?

Answer 19

Ascites, pregnancy, constipation

Question 20

How does old age affect the urinary system?

Answer 20

Causes decreased kidney function, decreased thirst, incontinence, capactiy, and nocturia (urinating at night)

Question 21

What questions should the nurse ask to get subjective data about their urinary system?

Answer 21

1. Can you empty or control urine flow
2. do you get up at night to use the bathroom
3. can you start and stop your stream
4. do you have a history of recent infections
5. Do you have any family history
6. Do you have a history of HTN
7. Have you ever had kidney stones

Question 22

What is a common complaint for people with an Abdominal Aortic Aneurysm?

Answer 22

Complaining of Back Pain

Question 23

What does a scaphoid abdomen look like?

Answer 23

Sunken inward