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Nursing Skills
Test 2 LP 23
| Question | Answer |
|---|---|
| What is the order that we complete abdominal assessment? (4) | Inspect, Auscultate, Percuss, Palpate |
| What is the position used for abdominal assessment? | supine with pillow under head and knees slightly bent |
| What organs are in right upper quadrant? (7) | Pylorus, Duodenum, Liver, Right Kidney, Adrenal Gland, Hepatic flexure of colon, Head of pancreas |
| What organs are in left upper quadrant? (6) | Stomach, Spleen, Left Kidney, Adrenal Gland, Spelnic Flexure of Colon, Body of Pancreas |
| What organs are in right lower quadrant? (6) | Cecum, appendix, right ovary and fallopian tube, right ureter and lower kidney pole, right spermatic cord |
| What organs are in left lower quadrant? (6) | Sigmoid colon, left ovary and fallopian tube, left ureter and lower kidney pole, left spermatic cord |
| What organs are at the midline? (2) | urinary bladder, urethra |
| How long do we need to auscultate each quadrant before determining that bowel sounds are absent? | 2-5 min |
| What are the four characteristics we note when listening to bowel sounds? | pitch, loudness, quality ( gurgling or swishing), duration |
| Bowel sounds every 5-15 seconds are | normal active |
| Bowel sounds every 30 second to 1-2 min are | hypoactive |
| Bowel sounds that are not notable at all after 2-5 min are | absent |
| Bowel sounds that are continuous are | hyperactive |
| What type of sound should we hear when we auscultate over a normal abdominal cavity ? | tympany but for dullness on liver and full bladder |
| Percussion is used to access what four things? | fluid, gas, masses, estimates of size of liver and spleen |
| What is the difference between light and deep palpation of abdominal region? | light - one handed, one cm depression, deep - two handed, two 0 five cm depression to feel abdominal organs |
| What two things do we want to note during palpation? | rebound tenderness or aortic pulsation |
| What is the most common palpable mass in a child and where is it? | feces, right lower quadrant |
| What is the normal shape of infants and young children when standing versus supine? | cylindrical, flat |
| Do children and an easily palpated liver and spleen? | yes |
| Older adults often lack abdominal ___ | tone |
| Underlying organs of adults are more/less palpable. | more |
| What two things impact the large intestine of the older adult? | weak musculature, decreased peristalsis |
| What are four common abdominal conditions in the older adult? | constipation, nausea, flatulence, heartburn |
| Should peristalsis be visible? | no |
Created by:
anastasia158
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