Solutions
5 F's of distension Correct Answers fat, fluid, feces, flatus, full
bladder
Abdomen Examination Sequence Correct Answers Inspection
Auscultation: bowel sounds and bruits
Percussion: if there is fluid, solid, or air
- percuss in all 4 quadrants
- tympany: normal over most of the abdomen
- dullness: organs, masses, stool, distended bladder
Palpation: tenderness, masses, organs
also avoid painful areas- save that for last
abdominal contour: Correct Answers flat, scaphoid (concavity),
rounded, protuberant
Abdominal sounds Correct Answers bowel sounds: irregular,
high-pitched clicks and gurgling
Borborygmi: loud prolonged gurgles heard when hungry or
increased GI motility
Bruit: blowing whistling sound by blood moving through a
narrow vessel
absent bowel sounds Correct Answers paralytic ileus
Airborne Precautions Correct Answers PPE: mask, gown,
gloves (TB: N-95 mask)
room: may have HEPA filter, private
dedicated equipment
, closed door
transportation: mask
visitors: susceptibility; PPE
ANA position paper on antibiotic stewardship (2017) Correct
Answers - assess the source of infection and identify
appropriate precautions
- take accurate allergy history
- obtain cultures before starting antibiotics and monitor the
results
- timely administration of antibiotic
- monitor for side effects
- patient teachings
Apical pulse location Correct Answers Mid clavicular line, 5th
intercostal space
areas of known abdominal tenderness Correct Answers
epigastrium, abdominal aorta, cecum, sigmoid
asepsis Correct Answers a condition free from germs,
infection, and forms of life
assessment techniques (abdomen) Correct Answers inspection,
auscultation, percussion, palpation (you can distort the abdomen
sounds by touching, giving inaccurate readings)
assessment techniques (normal) Correct Answers inspection,
palpation, percussion, auscultation