Urinary Elimination Flashcards
Subjective GI System Assessment
History
Medications
Surgery
Lifestyle
Diet
Weight changes (intentional or not)
Abdominal distention; pain
Changes in urine timing or appearance
Abdominal Assessment (In Order)
Inspection
Auscultation
Palpation
Percussion
Inspection:
Provide privacy
Provide warm comfortable environment
Drape the patient
Adequate lighting
Raise bed to improve observation
Inspect abdomen for:
Rashes or lesions
Scars
Venous pattern (fine veins or engorged prominent veins)
Color (may be paler than overall skin; abdominal - dark bluish striae, redness, purple flank color, pale & taut with ascites
Normal; Abnormal Contour
Normal: Rounded, flat
Abnormal: Distention
Normal; Abnormal Symmetry
Normal: Symmetrical
Abnormal: Asymmetrical
Normal; Abnormal Surface Motion
Normal: No movements or slight peristalsis visualized over aorta.
Abnormal: Bounding peristalsis or pulsations
Normal; Abnormal Stool Color
Normal: Brown to dark; brown
Abnormal: Black, tarry, bright red
Normal; Abnormal Emesis color
Normal: Varies
Abnormal: Bloody (hematemesis), coffee grounds (old blood)
Normal; Abnormal Urine Color
Normal: Clear, yellow, odorless
Abnormal: Tea, orange, green, cloudy, purulent (pus), bloody (hematuria), foul odor.
Profolol (high doses) can cause:
Green urine
Pus in urine indicates:
UTI
What is located in the RUQ?
Liver, transverse colon, gallbladder
What is located in the LUQ?
Stomach
What is located in the RLQ?
Ascending colon, appendix
What is located in the LLQ?
Small intestine, descending colon, sigmoid colon
Auscultation of bowel sounds:
Use stethoscope to listen to bowel sounds in all 4 quadrants.
Normal is 5-30 sounds/minute
Must listen for ONE minute (minimum) in each quadrant.
If absent sounds, listen for an additional minute.
Borborygmus
Rumbling noise caused by the movement of gas through the intestines
