Holistic Health Assessment: Nutritional and Abdominal
Assessment (week 4) Questions With Complete Solutions
abdominal and gastrointestinal assessment Correct Answer -
health history related to this body system is assessed under the
nutrition-metabolic health pattern
abdominal wall muscle functions Correct Answer -protect
internal organs
-allow normal compression of internal organs during functional
activities: coughing and sneezing; urination and defecation;
childbirth
anatomy and physiology Correct Answer -abdominal appraisal
--4 quadrants (RUQ, LUQ, RLQ, LLQ)
--2 imaginary lines (vertical/midline; horizontal/lateral)
--3 muscle layers extend from back, around flanks, to front:
external and internal abdominus oblique, transversus abdominus,
rectus abdominus
anatomy and physiology Correct Answer -abdominal borders:
--superiorly by costal margins
--inferiorly by symphysis pubic and inguinal canals
--laterally by flanks
assess general appearance and level or orientation Correct
Answer -well nourished, cachetic (wasting syndrome - loss of
weight or eating disorder), or obese?
-body proportions? and is it within acceptable weight range?
-is individual alert?
-interpret lab data
, -inspect skin for surface characteristics, hydration and lesions
-inspect hair and nails for appearance and texture
-inspect eyes for surface characteristics
-inspect oral cavity for dentition and intact mucous membranes
-inspect and palpate extremities for shape, size, movement and
sensation
-see table 11-5 in jarvis text p. 186
body mass index Correct Answer -weight-to-height index that
significantly correlates with total body fat
-estimate using a table or calculate using a formula (see table 9-
1 p. 131 in Jarvis text)
-normal BMI range is 18.5 to 24.9
Collecting objective data Correct Answer -measure height and
weight
-calculate BMI using chart
-may calculate percent ideal body weight if BMI is outside the
normal range
--- current weight/ideal weight times 100
collecting objective data: key assessment point: note change in
usual approach Correct Answer -inspect, auscultate, percuss,
palpate
-auscultate after inspection and before percussing and/or
palpating
collecting objective data: prepare for physical exam Correct
Answer -client preparation
-equipment and supplies:
--small pillow or rolled blanket
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