Week #8: Abdominal

Question 1

Cody is a teenager with a history of leukemia and an enlarged spleen. Today he presents with fairly significant left upper quadrant pain. On examination of this area, a rough grating noise is heard. What is this sound?

Answer 1

A splenic rub

Question 2

A client presents complaining of nausea, vomiting, and acute abdominal pain. What is the nurse’s first action?

Answer 2

Ask the client when the pain began

Question 3

A patient with a history of kidney stones presents with complaints of pain, hematuria, and nausea & vomiting. What assessment technique will elicit kidney pain?

Answer 3

Blunt percussion of CVA tenderness

Question 4

As part of an abdominal assessment, the nurse must palpate a client’s liver. In which quadrant is this organ located?

Answer 4

Right Upper Quadrant

Question 5

What is the second step of physical assessment when assessing the abdomen?

Answer 5

Auscultation

Question 6

The nurse is auscultating a client’s abdomen and is unable to discern any bowel sounds. How should the nurse proceed with assessment?

Answer 6

Listen for 5 minutes before documenting an absence of bowel sounds

Question 7

When assessing risk of colon cancer, which of the following health-history components should the nurse prioritize?

Answer 7

Family history & dietary habits

Question 8

The nurse suspects an abdominal aortic aneurysm when what is assessed?

Answer 8

Abdominal bruit

Question 9

How many quadrants is the abdomen divided in to during an assessment?

Answer 9

4

Question 10

An emergency department nurse is caring for a teenage client who has severe pain in the umbilical area. Documentation shows that the client exhibits “Rovsing’s sign.” What medical diagnosis is associated with the assessment finding?

Answer 10

Appendicitis

Question 11

Assessment used to assess for rebound tenderness to check for peritonitis; may include appendicitis or infection. Away from the painful area, push down your hand at a 90-degree angle slowly and deeply, then quickly release the pressure

Answer 11

Blumberg sign

Question 12

Increased bowel sounds that occur with diarrhea and early intestinal obstruction

Answer 12

Borborygmi

Question 13

Collection of fluid in the abdomen

Answer 13

Ascites

Question 14

Pain that results from inflammation of the peritoneum; usually severe and localized over the involved structure

Answer 14

Parietal pain

Question 15

Pain that occurs in more distant sites innervated at approximately the same spinal level as the disordered structure

Answer 15

Referred pain

Question 16

Pain that occurs when hollow organs are distended, stretched, or contract forcefully; difficult to localize

Answer 16

Visceral pain

Question 17

Hold fingers beneath the liver border, apply mild pressure and ask the patient to take a deep breath. Assessing for gallbladder inflammation

Answer 17

Murphy Sign

Question 18

With patient lying supine, lift the right leg straight up, keeping the knee straight. Push down over the lower part of the right thigh while the patient pushes up. This is performed when appendicitis is expected.

Answer 18

Iliopsoas Muscle Test

Question 19

As a person ages, there is a decrease in thirst sensation, production of saliva, gastric motility, peristalsis, and liver & renal function.
a) True
b) False

Answer 19

a) True

Question 20

On average, waste products of food ingested today are eliminated 48 hours later.
a) True
b) False

Answer 20

a) True

Question 21

Patients who present with fever, chills, and leukocytosis, and ___________________ warrant a rapid assessment and referral to an acute care facility.

Answer 21

Rebound Tenderness

Question 22

_______________ bowel sounds occur more than 30 gurgles per minute.

Answer 22

Hyperactive

Question 23

Significant pain upon ____________ percussion at the costovertebral angle (CVA) is a positive sign and could be indicative of pyelonephritis or kidney stones.

Answer 23

Blunt

Question 24

What order should nurses complete there abdominal assessment:

Answer 24

1. Inspection
2. Auscultation
3. Percussion
4. Palpation

Question 25

Label the following abdominal regions:

Answer 25

1. Right hypochondriac
2. Epigastric
3. Left hypochondriac
4. Right lumbar
5. Umbilical
6. Left lumbar
7. Right inguinal
8. Hypogastric OR suprapubic
9. Left inguinal

Question 26

Where in the abdomen would you listen for bruits?

Answer 26

Best heard over the aorta in the epigastric region over the renal and iliac arteries as well as the femoral arteries

Question 27

Where in the abdomen would you listen for venous hums?

Answer 27

Best heard in the epigastric and umbilical regions

Question 28

Where in the abdomen would you listen for friction rubs?

Answer 28

Best heard over the hepatic & splenic areas

Question 29

In what quadrant is the liver located?

Answer 29

RUQ

Question 30

In what quadrant is the gallbladder located?

Answer 30

RUQ

Question 31

In what quadrant is the pancreas located?

Answer 31

LUQ

Question 32

In what quadrant is the spleen located?

Answer 32

LUQ

Question 33

In what quadrant is the appendix located?

Answer 33

RLQ

Question 34

Contains the liver, R-kidney, gall bladder, colon, pancreas

Answer 34

RUQ

Question 35

Contains the appendix, colon, and SM intestine

Answer 35

RLQ

Question 36

Contains the stomach, L-kidney, spleen, colon, and pancreas

Answer 36

LUQ

Question 37

Contains the colon and SM intestine

Answer 37

LLQ