Unit 2- abdomen

Home

Get App

Create

in what order do you assess the abdomen?

inspection, auscultation, percussion and palpation
how should you prepare and position the client for and abdominal assessment?
- have client void prior
- position lying supine w/ arms at sids and knees slightly bent
when doing an abdoninal assessment what would dialated veins indicate? is it an expected finding?
- associated w/ cirrhosis or inferior vena cava obstruction
- unexpected
what are the appropriate ways to describe the shape or contour of the abdomen?
- flat
- convex
- concave
- distended
what does flatus mean?

protusion is mainly midline, and the flanks are unchanged
what are expected sounds of the abdomen and how often should these sounds be heard?
- high pitched clicks and gurgles
- 5 to 30 times/min
what do you do if bowel sounds seem to be absent?
- listen for a full 5 mins
- 2 mins LRQ and then a min in the other quadrants
- if still no sounds call physician!
what is the expected sound of the abdomen during percusion?
- tympnany- majority
- dullness-liver or distended bladder
how is the liver span determined?
- establish lower boarder of the liver by percussing upward from bellow the umbilicus at the right midclavicular line until tympany turns to dullness --> mark
- establish the upper border by percussing downward, starting at the right midclavicular line over the lung until resonance turns to dulllness --> mark
- measure the distance between the 2 markings
- expected size is 6-12 cm
when should a tender area be assessed?

last
how do you assess for inflammation or irritation in the abdominal cavity? and what is this test called?
- Rebound tenderness (clumberg's sign)
- apply firm pressure w/ the hand at 90 degree angle w/ fingers extended, release the pressure, was pain elicited.
- this test should be performed in all 4 quadrants

Author

ski4me18

79116

Card Set

Unit 2- abdomen

Description

ab's

Updated

2011-04-12T18:05:52Z

Show Answers