Abdominal (and Nutrition) Assessment Flashcards
1
Q
What are some health history you want to obtain from the patient?
A
- GI problems
- Operations in abdomen
- Abdominal x ray studies
- medications
- alcohol/tobacco/drug use
- activity level
- nutritional assessment
2
Q
Dysphagia
A
difficulty swallowing
3
Q
Older adult questions
A
- how do you get groceries/prep meals?
- do you eat alone or share your meal with others?
- do you have trouble chewing or swallowing?
- how often do you bowels move?
- how much liquid do you drink per day?
- amount of fiber in diet?
- do you take any medications for constipation?
4
Q
Assessing dietary intake
A
24 hr recall Food frequency questionnaire Food diary Direct Observation During hospitalization, document intake
5
Q
Nutritional Assessment
A
- changes in appetite, senses
- recent surgery, trauma, burns. infection
- chronic illness
- eating patterns
- usual weight
- nausea, vomiting, diarrhea, constipation
- food allergies/intolerances
- medications/supplements
- self-care behaviors
- alcohol and drug use
- exercise and activity patterns
6
Q
Which quadrant is the liver in?
A
RUQ
7
Q
Which quadrant is the gallbladder in?
A
RUQ
8
Q
Where is the stomach
A
LUQ
9
Q
Abdomen inspection terms
A
- Flat
- Rounded
- Obese
10
Q
Abdomen auscultation terms
A
-Normoactive
-Hypoactive
-Hyperactive
(in all 4 quadrants)
11
Q
Abdomen palpation terms
A
- soft
- firm
- distended
- tender
- non-tender
12
Q
What is the order for an abdomen exam?
A
Inspection, auscultation, percussion, palpation
13
Q
How long should you auscultate the stomach before you state “absent”?
A
2 minutes
14
Q
What do bruits in the abdomen indicate?
A
Aortic aneurysm
Renal artery stenosis
Femoral artery occlusions
15
Q
What does a normal stomach sound like?
A
Tympany
