ANSWERS | 2025/206 LATEST UPDATED | 100 % RATED AND VERIFIED SOLUTIONS |
GET AN A+
What is the first step when performing an abdominal assessment? - (ANSWER)Inspection
The term used for pain elicited when the nurse pushes down slowly and deeply on abdomen and quickly lifts up -
(ANSWER)Rebound tenderness
Before the nurse begins the abdominal assessment, she should: - (ANSWER)- ask client to empty bladder
- make room and stethoscope warm to avoid tensing
- lay on back
Normal bowel sounds - (ANSWER)High pitch gurgling 5-30 times a minute
Order of objectives in abdominal assessment: - (ANSWER)1. Inspection
2. Auscultation
3. Percussion
4. Palpation
McBurneys sign - (ANSWER)Rebound tenderness when the RLQ is palpated,
appendicitis
Murpheys sign - (ANSWER)abrupt stopping of breathing when palpating RUQ,
GALLBLADDER
Cullens sign - (ANSWER)Bluish color around umbilicus, internal bleeding
,What are two normal findings when ascultating and assesing the patient's abdomen? - (ANSWER)- tympany
- high pitch gurgles
NOT friction rubs or borbyrigmus
Signs of malnutrition include: - (ANSWER)- dry dull sparse hair
- red cracks in mouth
-bleeding of the gums
What are the 5 biomarkers of metabolic syndrome? - (ANSWER)- HTN
- Triglycerides (>150 mg)
- High density lipoprotein (<30 or 40)
- waist circumference
- glucose level (>100mg)
Pellagra - (ANSWER)pigmented kerotic scaling lesions
- niacin deficiency
Scorbutic gums - (ANSWER)Vitamin C deficiency
Bitot's spots - (ANSWER)Vitamin A deficiency
Rickets - (ANSWER)Vitamin D and calcium deficiency
Magenta tongue - (ANSWER)riboflavin deficiency
Malnutrition signs in older adults - (ANSWER)- polypharmacy
,- poverty
- limited functional ability
- alcoholism
- social isolation
- poor physical or mental health
Obesity - (ANSWER)Defined as a BMI of 30-39.9
Nutritional Status - (ANSWER)balance between nutrient intake and nutrient requirements
abnormal abdominal findings - (ANSWER)- abdominal distention
- hernia
- hyper or hypoactive bowel sounds
- friction rub
- vascular sounds
- enlarged liver spleen or kidney
hemoccult test - (ANSWER)check the stools for blood, blue is positive and green is negative result
parietal pleura - (ANSWER)lines the peritoneum wall
visceral pleura - (ANSWER)covers the surface of organs
common causes of constipation - (ANSWER)- dehydration, medications, IBS, bowel obstruction, low fiber diet,
decreased physical activity
lactose intolerance - (ANSWER)The inability to completely digest the milk sugar lactose
- abdominal bloating, flatulent pain
, celiac disease - (ANSWER)autoimmune disease, gluten intolerance
RUQ organs - (ANSWER)liver, gallbladder
- pancreas head
- parts of ascending and transverse colon
RLQ - (ANSWER)cecum, appendix, right ovary and tube, right ureter, right spermatic cord
LUQ organs - (ANSWER)stomach, spleen, pancreas
- left lobe of liver, part of transverse and descending colon
LLQ organs - (ANSWER)Part of descending colon
Sigmoid colon
Left ovary and tube
Left ureter
Left spermatic cord
Hyperactive bowel sounds - (ANSWER)loud, high-pitched, rushing, tinkling sounds that signal increased motility
>30 per min
hypoactive bowel sounds - (ANSWER)diminished or absent bowel sounds signal decreased motility
- post op
Vascular sounds - (ANSWER)- should not hear a bruit