(solved) Assessment & Reasoning GI System Peggy Scott, 48 years old (latest complete solution)

Assessment & Reasoning GI System Peggy Scott, 48 years old Suggested GI/GU Nursing Assessment Skills to Be Demonstrated: GI/GU: Inspection: skin (coloration, vascularity, striae, scars, lesions, rashes) • Contour from 2 angles – (flat, rounded, scaphoid, protuberant/distended) • Note symmetry, color, veins, lesions, scars, hair distribution • Umbilicus – contour; Note: inguineal or umbilical hernias • Symmetry (relaxed, supine position) • Abdominal movement during breathing • Aortic pulsations Auscultation: (completed before palpation/percussion to not alter bowel sounds) • Bowel sounds – 1 minute per quadrant up to 5 minutes with the diaphragm • Intensity, pitch, frequency • Vascular sounds – listen for bruits in abdominal aorta with bell. Palpation: • Light palpation to all quadrants – 1 to 2 cm to detect tenderness • Deep palpation to all quadrants – 5 to 6 cm for masses (location, size, shape, pulsatility, mobility, tenderness) • Palpate bladder- light palpation ONLY; you only want to assess to see if it is distended • Check for costovertebral angle tenderness