Exam (elaborations)
NR509- Week 5: Assessment of the Abdomen
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NR509- Week 5: Assessment of the Abdomen
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NR509- Week 5: Assessment of the Abdomen1. An abdominal assessment encompasses: inspection, auscultation,
palpation, and percussion,
*performed in sequential order.
2. If pt has HTN or atherosclerotic disease listen (w the diaphragm) in the: epi- gastrium above
aorta
3. Tympany: high-pitched, musical, drumlike percussion note heard when per- cussing over
the stomach and intestine
indicates hollow space filled by air or gas in stomach or intestine
4. Dullness: flat percussion tone that is soft and of short duration
suggest fluid or the organs- liver or spleen
5. Signs of acute abdomen from inflammation of parietal peritoneum (peritoni- tis):: abdominal pain
w coughing
rigidity
guarding
rebound tenderness
percussion tenderness
6. Percuss the span of liver by: locate midclavicular line
starting at level below umbilicus in right lower quadrant in an area of tympany percuss upward
,toward the liver
identity upper and lower border of liver dullness in midclavicular line w perccussion
starting at the nipple line percuss from lung resonance to border of dullness and measure the
span of dullness from upper to lower border with percussion (6-12cm in R, 4-8cm L (greater in
men)
7. Tip of the. spleen is palpable in: 5% of adults
8. To identify splenomegaly, percuss: Traube's space
Dullness is positive side (may be falsely pos)
If tymapny presents laterally, it is NOT likely that spleen is enlarged
9. Right Upper Quadrant (RUQ): liver
gallbladder
pylorus
duodenum
hepatic flexure of colon head
of pancreas
10.Left Upper Quadrant (LUQ): spleen splenic
flexure of colon
stomach
body and tail of pancreas
11.Right Lower Quadrant (RLQ): cecum appendix
ascending colon
terminal ileum right
ovary
, 12.Left Lower Quadrant (LLQ): sigmoid colon
descending colon
left ovary
13.Abdominal quadrants and organs:
14.Mateo, a 29-year-old male, presents to the nurse practitioner (NP) with a complaint of blood in
his urine (hematuria).
Which are priority assessment questions the NP should ask? Select all that apply.: "Do you have to
frequently urinate?"
"Have you been exposed to any toxic substances at work or home?" "Have you
recently had any injuries that impacted your kidneys?" "When did you first see
blood in your urine?"
"Do you have any pain?"
"How much blood is in your urine?" "Have you
recently had a sore throat?"
15.Rationale for previous question: These are all relevant questions related to
hematuria.
Causes of blood in the urine range from infection, kidney stones, trauma, disease, or ingested
substances. Strep throat, if not treated, can also result in kidney problems.
16.The NP prepares to complete a focused assessment. Which are essential for the NP to assess?
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