NU 325 Health Assessment – Exam 5 Review University of Pennsylvania Comprehensive Study Guide

NU 325 Health Assessment – Exam 5 Review University of
Pennsylvania Comprehensive Study Guide with Practice Questions



Location |of |internal |organs |- |answers-Liver |on |the |right

-Spleen |on |the |left

-Right |kidney |lower |than |left |because |of |liver

-Kidneys |under |12th |(lowest |posterior) |rib/ |Costovertebral |angle

Costovertebral |angle |- |answersKidneys |under |12th |(lowest |posterior) |rib

Right |Upper |Quadrant |(RUQ) |- |answersLiver

Gallbladder

Duodenum

Head |of |pancreas

Right |kidney |and |adrenal

Hepatic |flexure |of |colon

Part |of |ascending |and |transverse |colon

Left |Upper |Quadrant |(LUQ) |- |answersStomach

Spleen

Left |lobe |of |liver

Body |of |pancreas

Left |kidney |and |adrenal

Splenic |flexure |of |colon

Part |of |transverse |and |descending |colon

Right |Lower |Quadrant |(RLQ) |- |answersCecum

Appendix

Right |ovary |and |tube

Right |ureter

Right |spermatic |cord

,Left |Lower |Quadrant |(LLQ) |- |answersPart |of |descending |colon

Sigmoid |colon

Left |ovary |and |tube

Left |ureter

Left |spermatic |cord

Midline |- |answersAorta

Uterus |(if |enlarged)

Bladder |(if |distended)

history |of |a |patient |who |is |having |abdominal |complaints |- |answers-Appetite

-Dysphagia

-Food |Intolerance

-Abdominal |Pain

-Nausea |and |Vomiting

-Bowel |habits

-Past |GI |Issues

-Operations

-Abdominal |studies |(x-ray, |colonoscopy, |EGD)

-Medications

-Alcohol

-Smoking

-Nutritional |Assessment |(24 |hour |diet |recall)

-Obesity

Subjective |Data |- |Infants |and |Children |- |answers• |Breastfed |or |Bottle |fed?

• |Which |table |foods |have |been |introduced?

• |How |often |does |your |child |eat? |Scheduled?

| Snacks?

• |Does |child |eat |nonfoods? |Grass/dirt/paint |chips?

• |Constipation? |Abdominal |Pain?

• |Overweight? |Diet? |Activity?

, •Pica

Subjective |Data |- |Adolescents |- |answers• |Regular |meal? |Breakfast? |Snacks?

• |Calories? |Exercise?

• |Screen |for |extreme |weight |loss

• |How |does |adolescent |view |body?

• |What |do |parents |or |friends |say |about |eating |habits?

•Anorexia |Nervosa

Subjective |Data |- |Elderly |- |answers• |How |does |person |get |groceries? |Prepare |meals?

• |Eat |alone? |With |others?

• |Trouble |swallowing |foods? |What |do |you |do |after |eating?

• |How |often |does |person |have |a |bowel |movement? |Laxatives?

• |Medications? |Any |GI |side |effects?

Sequence |of |Abdominal |Exam |- |answers• |Inspection

• |Auscultation

• |Percussion

• |Palpation |

*Percussion |and |Palpation |can |increase |peristalsis |and |give |a |false |interpretation |of |bowel |sounds

prepare |and |position |the |patient |for |an |abdominal |exam |- |answers•The |person |should |have |emptied |
the |bladder, |saving |a |urine |specimen |if |needed.

•Place |the |person |supine, |with |the |head |on |a |pillow, |the |knees |bent |or |on |pillow, |and |the |arms |at |
the |sides |or |across |the |chest. |(NOTE: |Discourage |the |person |from |placing |his |or |her |arms |over |the |
head |because |this |tenses |abdominal |musculature.)

Black |stools |- |answersMay |be |tarry |due |to |occult |blood |(melena) |from |upper |GI |bleeding |or |nontarry |
from |iron |medications.

Red |blood |- |answersin |stools |occurs |with |lower |GI |bleeding |or |localized |bleeding |around |the |anus

Gray |stools |- |answersoccur |with |hepatitis.

Flat |- |answers

Scaphoid |- |answerssunken |abdominal |wall

Rounded |- |answersslightly |protruding |abdominal |wall

Protuberant |- |answersgreatly |protruding |abdominal |wall