Nursing 216 (Health Assessment ) Exam 4 – Questions With
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Terms in this set (137)
Hypoactive bowel sounds are how many Less than 5 but at least 1
per minute?
Hyperactive bowel sounds are how many More than 30
per minute?
What do hyperactive bowel sounds increased motility possibly caused by diarrhea, anxiety, bowel
indicate? inflammation or reaction to certain foods
What do hyperactive bowel sounds sound Loud, growling sounds (borborygmi)
like?
What are normal bowel sounds? High pitched clicks and gurgles 5-35 times a minute.
What are the structures in the Left Upper stomach, spleen, left portion of the liver, main body of the
Quadrant (LUQ)? pancreas, the left portion of the kidney, adrenal glands,
splenic flexure of the colon, and bottom part of the colon.
What are the structures in the Left Lower the majority of the small intestine, some of the large intestine,
Quadrant (LLQ)? the left female reproductive organs, and the left ureter.
What are the structures in the Right Upper Right portion of the liver, the gallbladder, right kidney, a small
Quadrant (RUQ)? portion of the stomach, the duodenum, the head of the
pancreas, portions of the ascending and transverse colon, and
parts of small intestine.
What structures are in the Right Lower cecum, appendix, part of the small intestines, the right female
Quadrant (RLQ)? reproductive organs, and the right ureter
What quadrant is the gallbladder located RUQ
in?
What quadrant is the stomach located in? LUQ
What quadrant is the Appendix located in? RLQ
What quadrant is the descending colon in? LLQ
, What sign is used to indicate appendicitis? Blumberg's Sign
What would be a positive Blumberg's sign? The abdominal wall is pressed on slowly and then quickly
released, the presence of pain upon removal of pressure
(rebound tenderness) would be a positive Blumberg's sign
What sign is used to indicated Cholecystitis? Murphey's sign
What would be a positive Murphey's sign? The examiner has to put their hand in the area of the right
upper quadrant, and instruct the patient to breath in (inspire).
If the patient winces or pain is felt during inspiration, this is
considered a positive Murphey's sign
What is a flat abdominal contour? In a horizontal line from the xiphoid process to the symphysis
pubis
What is a rounded abdominal contour? you see this in obese patients, will be soft
What is a convex abdominal contour? Rounded
What is a concave abdominal contour? Sunken in appearance
What is a distended abdominal contour? a large protrusion of the abdomen due to fat, fluid, or flatus,
will be firm to palpation
How can you tell a distended abdomen is The patient will have rolls of fat tissue along both sides of the
due to fat? abdomen, and their skin does not look taut.
How can you tell a distended abdomen is The flanks of the patient will also protrude, and when they
due to fluid? turn onto one side, the protrusion will move to the dependent
side
How can you tell a distended abdomen is The protrusion is mainly midline, and there is no change in the
due to flatus? flanks
How can you tell a distended abdomen is Protrusions through the abdominal muscle will be visible,
due to hernias? especially when the patient flexes the abdominal muscles
What does a protuberant abdomen look Abdominal distention, will be firm to palpation
like?
What does a scaphoid abdomen look like? Extremely thin, caved in appearance with visible bones,
indicates malnourishment
What are some early symptoms of bowel Nausea, Vomiting, Abdominal tenderness, Diarrhea
obstruction?
What are some late symptoms of bowel Colicky (sharp, localized gastrointestinal or urinary pain that
obstruction? can arise abruptly, and tends to come and go in spasmlike
waves), generalized abdominal pain, nausea, vomiting,
absence of a bowel movement or gas, fever
What physical exam findings will there be distention, hyperactive bowel sounds(early), hypoactive or
with a bowel obstruction? absent bowel sounds (late), fever, high heart rate, low blood
pressure
Verified Solutions
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (137)
Hypoactive bowel sounds are how many Less than 5 but at least 1
per minute?
Hyperactive bowel sounds are how many More than 30
per minute?
What do hyperactive bowel sounds increased motility possibly caused by diarrhea, anxiety, bowel
indicate? inflammation or reaction to certain foods
What do hyperactive bowel sounds sound Loud, growling sounds (borborygmi)
like?
What are normal bowel sounds? High pitched clicks and gurgles 5-35 times a minute.
What are the structures in the Left Upper stomach, spleen, left portion of the liver, main body of the
Quadrant (LUQ)? pancreas, the left portion of the kidney, adrenal glands,
splenic flexure of the colon, and bottom part of the colon.
What are the structures in the Left Lower the majority of the small intestine, some of the large intestine,
Quadrant (LLQ)? the left female reproductive organs, and the left ureter.
What are the structures in the Right Upper Right portion of the liver, the gallbladder, right kidney, a small
Quadrant (RUQ)? portion of the stomach, the duodenum, the head of the
pancreas, portions of the ascending and transverse colon, and
parts of small intestine.
What structures are in the Right Lower cecum, appendix, part of the small intestines, the right female
Quadrant (RLQ)? reproductive organs, and the right ureter
What quadrant is the gallbladder located RUQ
in?
What quadrant is the stomach located in? LUQ
What quadrant is the Appendix located in? RLQ
What quadrant is the descending colon in? LLQ
, What sign is used to indicate appendicitis? Blumberg's Sign
What would be a positive Blumberg's sign? The abdominal wall is pressed on slowly and then quickly
released, the presence of pain upon removal of pressure
(rebound tenderness) would be a positive Blumberg's sign
What sign is used to indicated Cholecystitis? Murphey's sign
What would be a positive Murphey's sign? The examiner has to put their hand in the area of the right
upper quadrant, and instruct the patient to breath in (inspire).
If the patient winces or pain is felt during inspiration, this is
considered a positive Murphey's sign
What is a flat abdominal contour? In a horizontal line from the xiphoid process to the symphysis
pubis
What is a rounded abdominal contour? you see this in obese patients, will be soft
What is a convex abdominal contour? Rounded
What is a concave abdominal contour? Sunken in appearance
What is a distended abdominal contour? a large protrusion of the abdomen due to fat, fluid, or flatus,
will be firm to palpation
How can you tell a distended abdomen is The patient will have rolls of fat tissue along both sides of the
due to fat? abdomen, and their skin does not look taut.
How can you tell a distended abdomen is The flanks of the patient will also protrude, and when they
due to fluid? turn onto one side, the protrusion will move to the dependent
side
How can you tell a distended abdomen is The protrusion is mainly midline, and there is no change in the
due to flatus? flanks
How can you tell a distended abdomen is Protrusions through the abdominal muscle will be visible,
due to hernias? especially when the patient flexes the abdominal muscles
What does a protuberant abdomen look Abdominal distention, will be firm to palpation
like?
What does a scaphoid abdomen look like? Extremely thin, caved in appearance with visible bones,
indicates malnourishment
What are some early symptoms of bowel Nausea, Vomiting, Abdominal tenderness, Diarrhea
obstruction?
What are some late symptoms of bowel Colicky (sharp, localized gastrointestinal or urinary pain that
obstruction? can arise abruptly, and tends to come and go in spasmlike
waves), generalized abdominal pain, nausea, vomiting,
absence of a bowel movement or gas, fever
What physical exam findings will there be distention, hyperactive bowel sounds(early), hypoactive or
with a bowel obstruction? absent bowel sounds (late), fever, high heart rate, low blood
pressure
