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HEALTH ASSESSMENT > ABDOMINAL ASSESSMENT > Flashcards

ABDOMINAL ASSESSMENT Flashcards

1
Q

What area is only exposed in the abdominal assessment?

A

Xiphoid Process to the Symphysis Pubis

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2
Q

What should you inspect in the abdominal?

A

inspect abdominal contour

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3
Q

Where should you inspect at the abdominal contour?

A

area bet. lower ribs and pubic bone

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4
Q

What is the findings of the abdominal contour?

A

The abdomen is flat

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5
Q

What should you measure and observe in the abdominal symmetry?

A

protrusion
bulging
lumps
abdominal girth

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6
Q

TRUE OR FALSE: The abdomen must be paler than general skin tone.

A

TRUE

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7
Q

What should you inspect in the abdomen?

A

umbilicus

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8
Q

Normal findings for hernia or diastasis recti

A

abdomen does not bulge when client raises head

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9
Q

A slight pulsation of the
abdominal aorta is noted in the _____

A

epigastrium

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10
Q

Peristaltic waves should (BE OR NOT BE) seen

A

Not seen

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11
Q

What side of the stethoscope is used to auscultate the bowel sounds?

A

diaphragm

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12
Q

Where should you begin auscultating the bowel sounds?

A

right lower quadrant and proceed clockwise

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13
Q

bowel sound is more active over the

A

Ileocecal Valve in the RLQ

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14
Q

What side of the stethoscope should you use when you auscultate the vascular sounds and venous hum?

A

Bell

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15
Q

Where should you listen for bruit sounds?

A

abdominal aorta
renal
iliac
femoral

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16
Q

Where should you listen for venous hum?

A

epigastric and umbilical areas

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17
Q

Where should you auscultate the friction rubs?

A

right and left lower rib cage

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18
Q

Where should you start percussing the abdomen?

A

right upper quadrant and end at the right lower quadrant

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19
Q

what tone predominates over all
four quadrants.

A

tympany

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20
Q

is heard over liver and spleen

A

dullness

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21
Q

The liver span in the midclavicular line is

A

6 cm

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22
Q

the liver span in the midsternal line is

A

4 cm

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23
Q

When performing the scratch test you should place the diaphragm of the stethoscope at the

A

2nd to the last intercostal space, midclavicular line

24
Q

When percussing the spleen, the client’s position must be

A

right side-lying position with left knee flexed and right leg is straight

25
Q

Where should you begin percussing for the spleen?

A

posterior to the left midaxillary line

26
Q

The tone in the spleen should change from ____ to ____

A

resonance to splenic dullness

27
Q

What is the vertical size and longitudinal of the spleen?

A

vertical size- 5 cm
longitudinal size- 6 cm

28
Q

What percussion method should you use for the liver tenderness?

A

blunt percussion

29
Q

client’s position in blunt percussion?

A

supine

30
Q

What side of the fist should you use to strike the left hand?

A

ulnar side

31
Q

What method should you use for the kidney tenderness?

A

kidney punch test

32
Q

Where should you place your left hand during kidney punch test?

A

costovertebral angles over the 12th rib

33
Q

for bimanual technique where should you place your left hand?

A

client’s back at the level of the 11th to 12th ribs

34
Q

What palpation techniques should you use for the liver?

A

bimanual and hooking technique

35
Q

When palpating for the spleen what is the position of the client?

A

right side-lying

36
Q

Where should you begin palpating for the urinary bladder for distention?

A

symphysis pubis to the umbilicus

37
Q

is a condition in which the fluid is collects in the spaces within the abdomen

A

ascites

38
Q

What is the position of the client when you test for ascites?

A

lateral decubitus position

39
Q

what percussion technique should you use to test for shifting dullness?

A

indirect percussion

40
Q

Palpating for rebound tenderness you should apply ____ using both hands in the

A

deep pressure
right lower quadrant

41
Q

refers to the pain felt in the right lower abdomen upon palpation of the left side of the abdomen

A

rovsing sign

42
Q

means that there is more pain when pressure on the tender area is released. It occurs when the tissue that lines the abdominal cavity (the peritoneum) is irritated, inflamed, or infected.

A

rebound tenderness

43
Q

What should you do to assess for psoas sign?

A

client lie on left side
hyperextend client’s leg

44
Q

When you assess for the obturator sign what should you do?

A

flex the hip and knee
rotate internally and externally

45
Q

A bulge at the umbilicus suggests an

A

umbilical hernia

46
Q

is seen as midline protrusion from the xiphoid to the umbilicus or pubis symphysis.

A

diastasis recti

47
Q

Marked peristaltic waves almost always indicate a pathologic process such as

A

pyloric stenosis

48
Q

is defined as a span greater than 12 cm at the mid-clavicular line (MCL) and greater than 8 cm at the midsternal line (MSL).

A

hepatomegaly

49
Q

is defined by an area of dullness exceeding 7 cm.

A

splenomegaly

50
Q

may be seen with severe weight loss or cachexia related to starvation or terminal illness.

A

scaphoid abdomen

51
Q

A bluish or purple discoloration around the umbilicus (periumbilical ecchymosis) indicates intra-abdominal bleeding

A

cullen’s sign

52
Q

bluish of purplish discoloration on the abdominal flanks.

A

grey-turner’s sign

53
Q

are associated with Cushing’s syndrome.

A

dark bluish-pink striae

54
Q

may occur when a defect develops in the abdominal muscles because of a surgical incision.

A

incisional hernia

55
Q

Vigorous, wide, exaggerated pulsations may be seen with

A

abdominal aortic aneurysm

56
Q

A prominent, laterally pulsating mass above the umbilicus strongly suggests an

A

aortic aneurysm

HEALTH ASSESSMENT (16 decks)

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