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Terms in this set (69)When performing an abdominal assessment, what is the correct sequence? Auscultation, inspection, palpation, percussion A patient reports a long history of changes in bowel patter. Which is the best question to determine normal bowel habits? What was your bowel pattern before you noticed the change? When palpating the abdomen, the nurse notices a mass at the anterior right costal margin in the MCL. Which organ is most likely involved? Liver What percussion sound is heard over most of the abdomen? Tympany A patient with a history of kidney stones presents with complaints of pain, hematuria, and nausea with vomiting. What assessment technique will illicit kidney pain? Percussion for CVA tenderness When auscultating the abdomen, the nurse hears a bruit to the right of the midline slightly below the umbilicus. The nurse documents this finding as a bruit of which of the following? Right iliac artery A patient with a history of cirrhosis tells the nurse that his abdomen seems to be getting larger and that he has gained 9.7 kg (20 lbs) in the last 6 months. How will the nurse determine whether the abdominal enlargement is from accumulation of fluid or fat from the weight gain? By percussing the abdomen for shifting dullness A patient with a tympanic abdomen complains of pain in the RUQ. Which sign would the nurse expect to be positive? Murphy sign Which assessment technique would best confirm splenic enlargement? Percussion along the left MAL spleen and gentle palpation When documenting a finding in the region over the stomach and centered above the umbilicus, the nurse most accurately identifies the region as epigastric The nurse has to decrease medicine dosages in consideration of what age group? Older adults and elderly Chewing difficulties and limited financial resources can contribute to? alter dietary choices (less protein and more carbohydrates Altered dietary choices, reduced muscle mass and tone can contribute to? Constipation Why is it more challenging and less accurate to take an abdominal assessment in older adults? Fat accumulations
Medical dosages should be decreased in older adults and elderly because? Process medications: Liver decreases in size and function declines Diminished sense of thirst in the hypothalamus can lead to? lower consumption of liquids-> UTI and Constipation Decreased liver and renal function in the elderly often results in lower than normal medication's therapeutic effects African Americans are more commonly present with sickle cell anemia: splenomegaly and jaundice Obesity is generally higher in ____ and highest in ______ racial and ethnic minorities Asuab Americans are more commonly associated with GI cancers (stomach cancer) : complaints of hearburn, indigestion, anorexia, and weight loss Jewish community is commonly known to have a higher commonality with Lactose intolerance and IBD :abdominal cramping, diarrhea, and rectal bleeding African Americans have the highest incidence with colorectal cancer Ashkenazi Jews have a greater risk of colon cancer (believed to carry a gene linked) Americans of Greek and Italian descent more commonly present with lactose intolerance Native americans are more common with Alcoholism, liver, and gallbladder disease, pancreatitis and diabetes What disease is common among all cultural groups Lactose intolerance African Americans have higher rates of obesity African American and American Indian/Alaska Native adults are ____as likely to be diagnosed with diabetes than Caucasians twice Native Hawaiians are more than _____ to die from complications of diabetes 5.7 Mexican Americans are ____ more likely to be diabetes than Caucasians 1.8 Pacific Islanders are ___ times more likely to be diagnosed with the disease 3 The nurse assesses current problems by using symptom analysis Genetic risk factors may be determined by personal and family history Risreduction and Health promotion goals may include: Increase the proportion of adults who receive a colorectal cancer screening examination, Anorexia loss of appetite and can be related to stress, difficulty with ingestion, socioeconomic issues, age, related issues or dementia Gastric acid reflux symptom can be heartburn Functional constipation results from inadequate fiber and fluids in the diet Medications that can cause constipation? anticholinergics or narcotics Visceral pain: hollow organs are distended, stretched, or contract forcefully- difficult to localize visceral pain can be described as gnawing, burning, cramping, or aching Parietal pain results from inflammation of the peritoneum Parietal pain can be described as is usually sever and localized over the involved structure: steady, aching, or sharp especially with movement Referred pain occurs in more distant sites innervated at approximately the same spinal level as the disordered structure Diarrhea is associated with infection (C. Diff.) Jaundice is caused by obstruction of the common bile duct by gallstones or pancreatic cancer Stress incontinence: occurs with coughing, sneezing, or increasing intraabdominal pressure Urge incontinence: sudden urge and loss of continence with little warning Total incontinence: inability to retain urine What are lifespan considerations that can affect dietary alterations? Financial limitations Striae scars Ascites collection of fluid in the abdomen Color of stool can indicate Green emesis: reduced peristalsis with irritation Borborygmi increased bowel sounds occur with diarrhea and early intestinal obstruction Hypoactive bowel can occur with adynamic ileus and peritonitis Bruits swishing sounds that indicate turbulent blood flow resulting from constriction or dilation of tortuous vessel abdominal reflex is present or absent in patients with upper and lower motor neuron diseases absent Blumberg sign rebound tenderness to check for peritonitis Murphy sign or inspiratory arrest to check for inflammation of the gallbladder Iliopsoas muscle test performed when appendicitis is suspected Basic metabolic panel (BMP) good overview of various changes that can result from malfunction of abdominal organs Glucose level indication of pancreatic endovrine function Electrolytes sodium, potassium, chlorine, and carbon dioxide can point to hydration affected by vomiting and dehydration Blood urea nitrogen (BUN) and creatinine levels indicate basic kidney function Liver function tests Alanine aminotransferase (ALT) Amylase and lipase levels can indicate exocrine function of the pancreas Nursing diagnosis (4) Imbalanced nutrition, less/more than body requirement Venous hums are conitinuous sounds found in in the epigastric region and around the umbilicus and caused by portal HTN Hepatitis A transmitted oral-fecal Hepatitis B & C Body fluids exposure Students also viewedAbdominal Assessment Chapter 2046 terms vany_barros_cardoso Chapter 20: Abdominal Assessment-Health Assessment23 terms mherscher7 HA Chapter 2116 terms CSNeto Chapter 17: Heart and Neck Vessels Assessment10 terms jillianroselevesque Sets found in the same folderIggi ch 1849 terms brandilyn_wood Unit 10: Assessment of Male and Female Genitourina…103 terms packmorley Female Anatomy18 terms BullNurse2012 Chapter 25 Health Assessment30 terms britarmy21 Other sets by this creatorPharm Ch. 1,2,3,5,17 Purple boxes44 terms LeAnnMorse Review Exam #441 terms LeAnnMorse Tutoring questions Exam #435 terms LeAnnMorse Review Questions40 terms LeAnnMorse Verified questions
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