NURS 330 Exam 2 – Questions With Fully Detailed
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Terms in this set (181)
- Liver
- Gallbladder
What organs are located in
- Duodenum
the Right Upper Quadrant
- Head of pancreas
(RUQ)?
- RT kidney & adrenal gland
- Part of colon
- Stomach
- Spleen
What organs are located in
- Left lobe of liver
the Left Upper Quadrant
- Body of pancreas
(LUQ)?
- LT kidney & adrenal gland
- Part of colon
- Cecum
What organs are located in - Appendix
the Right Lower Quadrant - RT ovary & tube
(RLQ)? - RT ureter
- RT spermatic cord
- Part of descending colon
What organs are located in - Sigmoid colon
the Left Lower Quadrant - LT ovary & tube
(LLQ)? - LT ureter
- LT spermatic cord
What organs are - Aorta
considered located in the - Uterus
MIDLINE of the abdomen? - Bladder
- DM
What chronic conditions
- Hepatitis
should be asked about
- Cirrhosis
regarding the GI system
- Gall bladder issues
(Present Health)?
- Appendix removed?
,What general health - Abdominal pain?
questions are asked during - Taking any medication? (Note: Many meds cause
the Subjective Data- nausea, stomach discomfort)
Present Health - Have you noticed any abdominal distention?
assessment?
What problems with - Heartburn/indigestion
digestion should be - Nausea
inquired about? - Vomiting
What are the key subjective - When was last bowel movement?
questions about elimination - Appetite
and intake?
Type 1: separate, hard lumps
Type 2: solid, lumpy
Type 3: solid, smooth with cracks
Describe Bristol Stool
Type 4: soft, snake-like
Types
Type 5: soft blobs, clear edges
Type 6: mushy, fluffy pieces
Type 7: watery, no solid pieces
Types 1 & 2 (constipation):
- Increase fiber
What nursing
- potentially caused by dehydration
education/assessment
Types 5, 6, & 7 (diarrhea):
points are mentioned in
- Make adjustments to diet
relation to stool
- Hydration is important / can cause dehydration
consistency?
- Look for infections
- Assess Skin turgor
- Ulcers
What GI diseases should - Gallbladder problems
the nurse ask if the patient - Hepatitis
has been diagnosed with? - Colitis
- Hernias
What questions should be - Have you had any abdominal surgeries or
asked about the patient's colonoscopies? Any complications?
surgical or family history? - Family history of GI cancer or hepatitis?
, - Ensure Lighting
- Expose abdomen
What are the key - Person should have emptied bladder
preparation steps for the - Keep room warm
physical abdominal - Stethoscope end piece and your hands should be
assessment? warm
- May need tape measure (abdominal girth)
- Inquire about any painful areas
- Position: Supine (head on pillow, knees bent or on
Describe the required pillow, arms at sides or across chest)
patient positioning and the - Rationale: Encourage patient to relax as many people
rationale. tense abdominal muscles when not relaxed
- This tension is called voluntary guarding
What is the Important 1. Inspection
Sequencing for Objective 2. AUSCULTATION
Data Assessment of the 3. Palpation
abdomen?
Why must Auscultation Palpating can change bowel sounds bc it stimulates
come before Palpation? certain sounds
- Expected: Smooth, dry, homogenous color
What are the expected and
- Common Pigment Change: Striae (silvery white, linear,
variant findings when
"stretch" marks)
inspecting the abdominal
- scars - note size & location
skin?
- Note color changes
- Expected: Should be symmetric
What are the expected
- Unexpected: Note any bulging or masses
findings for Symmetry, and
- Hernia: Protrusion of abdominal viscera through
what is a Hernia?
abnormal opening in muscle wall
What movements or - May see slight pulsations from the aorta
pulsations might be - May see peristalsis in very thin people
observed during
inspection?
What does abdominal - Describes nutritional state
shape & contour describe, - Normal Range: Flat to rounded
and what are the - Scaphoid: caves in
variations? - Protuberant: abdomen distended, stretched
What are the expected and - Expected: Midline, inverted
unexpected findings for the - Unexpected: Hernias, swelling, protrusions
Umbilicus?
Solutions
Save
Terms in this set (181)
- Liver
- Gallbladder
What organs are located in
- Duodenum
the Right Upper Quadrant
- Head of pancreas
(RUQ)?
- RT kidney & adrenal gland
- Part of colon
- Stomach
- Spleen
What organs are located in
- Left lobe of liver
the Left Upper Quadrant
- Body of pancreas
(LUQ)?
- LT kidney & adrenal gland
- Part of colon
- Cecum
What organs are located in - Appendix
the Right Lower Quadrant - RT ovary & tube
(RLQ)? - RT ureter
- RT spermatic cord
- Part of descending colon
What organs are located in - Sigmoid colon
the Left Lower Quadrant - LT ovary & tube
(LLQ)? - LT ureter
- LT spermatic cord
What organs are - Aorta
considered located in the - Uterus
MIDLINE of the abdomen? - Bladder
- DM
What chronic conditions
- Hepatitis
should be asked about
- Cirrhosis
regarding the GI system
- Gall bladder issues
(Present Health)?
- Appendix removed?
,What general health - Abdominal pain?
questions are asked during - Taking any medication? (Note: Many meds cause
the Subjective Data- nausea, stomach discomfort)
Present Health - Have you noticed any abdominal distention?
assessment?
What problems with - Heartburn/indigestion
digestion should be - Nausea
inquired about? - Vomiting
What are the key subjective - When was last bowel movement?
questions about elimination - Appetite
and intake?
Type 1: separate, hard lumps
Type 2: solid, lumpy
Type 3: solid, smooth with cracks
Describe Bristol Stool
Type 4: soft, snake-like
Types
Type 5: soft blobs, clear edges
Type 6: mushy, fluffy pieces
Type 7: watery, no solid pieces
Types 1 & 2 (constipation):
- Increase fiber
What nursing
- potentially caused by dehydration
education/assessment
Types 5, 6, & 7 (diarrhea):
points are mentioned in
- Make adjustments to diet
relation to stool
- Hydration is important / can cause dehydration
consistency?
- Look for infections
- Assess Skin turgor
- Ulcers
What GI diseases should - Gallbladder problems
the nurse ask if the patient - Hepatitis
has been diagnosed with? - Colitis
- Hernias
What questions should be - Have you had any abdominal surgeries or
asked about the patient's colonoscopies? Any complications?
surgical or family history? - Family history of GI cancer or hepatitis?
, - Ensure Lighting
- Expose abdomen
What are the key - Person should have emptied bladder
preparation steps for the - Keep room warm
physical abdominal - Stethoscope end piece and your hands should be
assessment? warm
- May need tape measure (abdominal girth)
- Inquire about any painful areas
- Position: Supine (head on pillow, knees bent or on
Describe the required pillow, arms at sides or across chest)
patient positioning and the - Rationale: Encourage patient to relax as many people
rationale. tense abdominal muscles when not relaxed
- This tension is called voluntary guarding
What is the Important 1. Inspection
Sequencing for Objective 2. AUSCULTATION
Data Assessment of the 3. Palpation
abdomen?
Why must Auscultation Palpating can change bowel sounds bc it stimulates
come before Palpation? certain sounds
- Expected: Smooth, dry, homogenous color
What are the expected and
- Common Pigment Change: Striae (silvery white, linear,
variant findings when
"stretch" marks)
inspecting the abdominal
- scars - note size & location
skin?
- Note color changes
- Expected: Should be symmetric
What are the expected
- Unexpected: Note any bulging or masses
findings for Symmetry, and
- Hernia: Protrusion of abdominal viscera through
what is a Hernia?
abnormal opening in muscle wall
What movements or - May see slight pulsations from the aorta
pulsations might be - May see peristalsis in very thin people
observed during
inspection?
What does abdominal - Describes nutritional state
shape & contour describe, - Normal Range: Flat to rounded
and what are the - Scaphoid: caves in
variations? - Protuberant: abdomen distended, stretched
What are the expected and - Expected: Midline, inverted
unexpected findings for the - Unexpected: Hernias, swelling, protrusions
Umbilicus?
