Nurs 307 Abdomen/nutrition Assessment

Front 1

Identify the 2 types of viscera in the abdomen. Which of these percuss tympany?

Back 1

Solid viscera
Hollow viscera => Percusses tympany

Front 2

Identify the quadrants in the abdomen.

Back 2

RUQ
LUQ
RLQ
LLQ

Front 3

Identify and describe the 3 regions of the abdomen.

Back 3

Epigastric - above belly button

Umbilicus - around belly button area

Hypogastric/Suprapubic - below belly button, above pubic region

Front 4

Identify the nationalities that have increased risk for lactose intolerance at birth.

Back 4

African Americans, Native Americans, Asians, and Mediterranean groups

Front 5

abdomen

Back 5

large oval cavity extending from diaphragm down to the brim of the pelvis

Front 6

Identify what organs/structures are in the RUQ.

Back 6

liver, gallbladder, duodenum, head of pancreas, R kidney 
and adrenal, hepatic, flexure of colon, part of ascending and transverse 
colon

Front 7

Identify what organs/structures are in the LUQ

Back 7

stomach, spleen, L lobe of liver, body of pancreas, L kidney and 
adrenal, splenic flexure of colon, part of transverse and descending colon

Front 8

Identify what organs/structures are in the LLQ.

Back 8

part of descending colon, sigmoid, colon, L ovary and tube, L 
ureter, L spermatic cord

Front 9

Identify what organs/structures are in the RLQ.

Back 9

cecum, appendix, R ovary and tube, R ureter, R spermatic cord

Front 10

Identify the common chief complaint for abdomen.

Back 10

Abdominal pain, unspecific

Front 11

Identify the normal range in frequency for bowel movements.

Back 11

o Frequent 2-3 times per day
o Infrequent as once every 3-5 times days

Front 12

Should feces be floating or sinking?

Back 12

It should be sinking. If it's floating, it means patient is not getting enough fiber.

Front 13

If a patient is vomiting/having diarrhea more than ______ times a day, you will be concerned about dehydration.

Back 13

five

Front 14

Why must you auscultate before palpation and percussion?

Back 14

If you percuss or palpate first, you will create gurgles/sounds in the abdomen.

Front 15

Identify the 4 descriptions of bowel sounds.

Back 15

Normal (normoactive)
Hypoactive
Hyperactive
Absent

Front 16

What does it mean when you hear a bruit when checking for vascular sounds?

Back 16

It could mean there is an aneurysm.

Front 17

Identify the 2 types of sound you would hear via percussion.

Back 17

Tympany and dullness

Front 18

pyelonephritis

Back 18

Inflammation of the kidney and its pelvis, caused by bacterial infection.

Front 19

organomegaly

Back 19

abnormal enlargement of organs

Pic: Spleen enlargement

Front 20

Describe the two types of palpation.

Back 20

Light - 1 cm

Deep - 2-3 inches

Front 21

ascites

Back 21

accumulation of serous fluid in the peritoneal cavity

Front 22

constipation

Back 22

bowels are evacuated at long intervals or with difficulty/straining, 
stool is usually very hard

Front 23

umbilical hernia

Back 23

soft skin covered mass which is the protrusion of the intestine 
through a weakness or incomplete closure in the umbilical ring

Note: When person is relaxed, you should be able to retract this into belly.

Front 24

hepatitis

Back 24

inflammation and usually enlarged liver

Front 25

gastroesophageal reflux (GER/GERD)

Back 25

complex of symptoms of 
esophagitis, heartburn, usually occurs 30-60 minutes after eating, aggravated by lying down or bending over, (in infants characterized by spitting up/vomiting)

Front 26

aortic aneurysm

Back 26

pulsating mass in the upper abdomen just left of midline; positive bruit, decreased femoral pulses

Note: 80% are palpable during routine physical exam

Front 27

Describe pain related to appendicitis.

Back 27

diffuse pain in periumbilical region that later shifts to severe, sharp, persistent pain and tenderness localized in RLQ (McBurney’s point)

Front 28

Appendicitis pain is aggravated by _________. (2)

It is associated with the following symptoms: __________. (3)

Back 28

aggravated by movement, coughing

anorexia, N/V, fever

Front 29

gastroenteritis/gastritis (AGE)

Back 29

diffused generalized abdominal pain with nausea and diarrhea

Front 30

cholecystitis

Back 30

inflammation of the gallbladder

Front 31

Describe the clinical manifestation of cholecystitis and its causes.

Back 31

Sudden pain in RUQ that may radiate to right or left scapula and which builds over time, lasting 2-4 hours after ingestion of fatty foods, alcohol, or caffeine

Front 32

Cholecystitis is common in ______.

Back 32

females > 40 years old.

Front 33

A bruit indicates _________ in _________ vessels.

Back 33

turbulent blood flow

in constricted, abnormally dilated, or tortuous vessels

Front 34

What result confirms rebound tenderness (Blumberg sign)?

Back 34

Pain on release of pressure

Front 35

Describe how to perform the following test: rebound tenderness. What is normal response?

Back 35

Choose a site away from the painful area. Hold your hand 90 degrees, or perpendicular, to the abdomen. Push down slowly and deeply; then lift up quickly.

A normal, or negative, response is no pain on release of pressure.

Front 36

Describe how to perform the following test: inspiratory arrest (Murphy Sign). What is a normal response?

Back 36

Hold your fingers under the liver border. Ask the person to take a deep breath.

A normal response is to complete the deep breath without pain.

Front 37

Describe how to perform the following test: iliopsoas muscle test.

Back 37

With the person supine, lift the right leg straight up, flexing at the hip (Fig. 21-31); then push down over the lower part of the right thigh as the person tries to hold the leg up.

Front 38

Identify the 5 locations you would listen for vascular sounds.

Back 38

Aorta
L/R renal artery
L/R iliac artery
L/R femoral artery

Front 39

hepatomegaly

Back 39

enlarged liver

Front 40

Hypoactive or absent bowel sounds typically follow ___________. (2)

Back 40

abdominal surgery or inflammation of the peritoneum

Front 41

peritoneum

Back 41

serous membrane lining the cavity of the abdomen and covering the abdominal organs

Front 42

An individual is 5' 3'' in height and weighs 120 pounds. What is their BMI?

Back 42

21.3

Front 43

apple shape vs. pear shape

Back 43

Apple - Wider waist than hips

Pear - Wider hips than waist

Front 44

Which of the following has a higher risk for heart disease: apple shape or pear shape?

Back 44

Apple shape

Front 45

Describe how to calculate waist/hip ratio.

Back 45

Ratio = Waist/Hips

Front 46

Identify the formula for BMI using inches and pounds.

Back 46

Front 47

Perform the iliopsoas muscle test when ________ is suspected.

Back 47

appendicitis

Front 48

What is the normal result for iliopsoas muscle test?

Back 48

No pain/change

Front 49

When the iliopsoas muscle is inflamed (which occurs with an inflamed or perforated appendix), pain is felt the ______ quadrant.

Back 49

RLQ

Front 50

TRUE/FALSE

Evidence shows that the Obturator Test, another technique that stretches the obturator muscle, does not work to diagnose appendicitis.

Back 50

True

Front 51

Sharp pain during CVA tenderness test indicates __________.

Back 51

Sharp pain occurs with inflammation of the kidney or paranephric area.

Front 52

Describe how to perform the following test: CVA tenderness. What is normal response?

Back 52

To assess the kidney, place one hand over the twelfth rib at the costovertebral angle on the back (Fig. 21-17). Thump that hand with the ulnar edge of your other fist.

Normal response is no pain.

Front 53

Identify the disease/condition the following patient may have.

You feel a pulsating mass in the upper abdomen. You hear a bruit in that region and the pt has decreased femoral pulses.

Back 53

Aortic aneurysm

Front 54

Identify the disease/condition the following patient may have.

Pt has had increasing pain in the RLQ. The pain started in the preumbilical region and has gotten worse and moved to the RLQ.

Back 54

Appendicitis

Front 55

Identify the disease/condition the following patient may have.

Pt has abdominal pain throughout belly. He/She is also experiencing nausea and diarrhea.

Back 55

Gastroenteritis/gastritis

Front 56

Identify the disease/condition the following patient may have.

Pt reports pain lasting ~3 hours after ingesting fatty foods and caffeine. The pain is in the RUQ.

Back 56

Cholecystitis

Front 57

Identify the disease/condition the following patient may have.

Pt feels heartburn ~30 minutes after eating. He said it feels worst after lying down or bending over.

Back 57

gastroesophageal reflux (GER/GERD)

Front 58

Blumberg sign = _______ test

Back 58

rebound tenderness

Front 59

Murphy sign = _______ test

Back 59

inspiratory arrest