Chp 23 Assessing Abdomen

Question 1

Flow of the intestines?

Answer 1

Left lower, left upper, right upper, right lower

Question 2

Where is the ascending colon?

Answer 2

RUQ

Question 3

Where is the duodenum in the abdomen?

Answer 3

RUQ

Question 4

Where is the liver?

Answer 4

RUQ

Question 5

Where is the pancreatic head?

Answer 5

RUQ

Question 6

Where is the pylorus located in the abdomen?

Answer 6

RUQ

Question 7

Where is the appendix?

Answer 7

RLQ

Question 8

Where is the ascending colon located?

Answer 8

RLQ

Question 9

Where is the cecum located?

Answer 9

RLQ

Question 10

Uterus is located in which quadrants?

Answer 10

Right and left lower quadrant

Question 11

What quadrants are the kidneys located in?

Answer 11

Right and left upper quadrant

Question 12

Where is the pancreas located?

Answer 12

LUQ

Question 13

Where is the spleen located?

Answer 13

LUQ

Question 14

Where is the stomach located?

Answer 14

LUQ

Question 15

Where is the epigastric region?

Answer 15

Upper mid abdomen

Question 16

Where is the umbilical region?

Answer 16

Center of abdomen

Question 17

Where are the right and left hypochondriac region?

Answer 17

Upper right and left areas

Question 18

Where are the right and left iliac regions?

Answer 18

Lower left and right areas

Question 19

Where is the hypogastric region?

Answer 19

Lower middle

Question 20

Three layers from back around flanks, to front

Answer 20

External abdominal oblique, internal oblique, transverse abdominis

Question 21

Solid viscera organs?

Answer 21

Liver, pancreas, spleen, adrenal glands, kidneys, ovaries, uterus

Question 22

Hollow viscera organs?

Answer 22

Stomach, gallbladder, small intestine, colon, bladder

Question 23

What groups have 40%-50% higher risk for gastric cancer?

Answer 23

Blacks, Hispanics, Asian, Pacific Islanders

Question 24

Asian Americans have lower rates of what compared to US population?

Answer 24

Esophageal adenocarcinoma

Question 25

What disease affects women more than men?

Answer 25

Gallbladder disease

Question 26

What are keloids?

Answer 26

Excess scar tissue from trauma or surgery

Question 27

What area would appendix pain include?

Answer 27

Peri umbilical area to RLQ

Question 28

What area would flank pain include?

Answer 28

Kidney radiating down the lower abdomen from the ureter

Question 29

General routine screening steps?

Answer 29

Observe coloration, umbilicus, contour/symmetry, aortic pulsations and peristaltic waves Auscultation bowel sounds, Percuss tones over four quadrants Palpate four quadrants

Question 30

What is the order of assessment for abdomen?

Answer 30

Inspection Auscultation Percussion Palpation

Question 31

What sounds to look out for when auscultating?

Answer 31

Bowel sounds, vascular sounds, venous hums, friction rub over liver spleen

Question 32

How to test for appendicitis?

Answer 32

Assess for rebound tenderness

Question 33

Testing for ascites (fluid build up in abdomen)

Answer 33

Test for shifting dullness Perform fluid wave test

Question 34

Testing for cholecystitis?

Answer 34

Asses RUQ for tenderness

Question 35

Psoas sign

Answer 35

Pain in RLQ when leg hyperextended

Question 36

Obturator sign

Answer 36

Pain in RLQ when hip and knee flexed and leg rotated internally and externally

Question 37

Murphy sign

Answer 37

Pain when pressure applied under liver border or right costal margin and client inhaled deeply

Question 38

When do you assess the width of the aorta?

Answer 38

Is older than 50 or has hypertension

Question 39

What are peptic ulcers?

Answer 39

An open sore that forms in the lining of the esophagus stomach or small intestine

Question 40

What are some controllable risk factors that cause peptic ulcers?

Answer 40

Smoking, alcohol, spicy foods, NSAID, stress, H. pylori, family, history, radiation treatments, Zollinger Ellison syndrome

Question 41

What is Zollinger Ellison syndrome?

Answer 41

A rare tumor in the pancreas

Question 42

What is GERD?

Answer 42

Stomach or gastric acid it’s low back into the esophagus

Question 43

What are some risk factors of GERD?

Answer 43

Obesity, pregnancy, smoking, dry mouth, diabetes, asthma

Question 44

What should you educate a client that has GERD on?

Answer 44

Avoiding alcohol and tobacco, eating 5 to 6 small meals, a day, not lying down for at least two hours after eating

Question 45

What does the fluid waived test check for?

Answer 45

Ascites (abnormal buildup of fluid in the abdomen)

Question 46

What does the Murphy sign test for?

Answer 46

Cholecystitis (inflammation of the gallbladder)

Question 47

What do psoas sign an obturator signs test for?

Answer 47

Appendicitis

Question 48

The abdomen is bordered superiorly by?

Answer 48

The coastal margins

Question 49

The afternoon is bordered inferiorly by?

Answer 49

The symphysis pubis and inguinal canals

Question 50

The afternoon is bordered by the?

Answer 50

Flanks

Question 51

What is the purpose of the abdominal wall muscles?

Answer 51

To protect internal organs

Question 52

What are the different body systems of the abdomen?

Answer 52

Gastrointestinal, reproductive, lymphatic, urinary

Question 53

Solid visceral organs

Answer 53

Liver, pancreas, spleen, adrenal glands, kidneys, ovaries, uterus

Question 54

Hollow viscera organs

Answer 54

Stomach, gallbladder, small intestine, colon, bladder

Question 55

Hey sera that is not normally palpable

Answer 55

Pancreas spleen, stomach, gallbladder, small intestine

Question 56

What are the vascular structures in the abdominal region?

Answer 56

Abdominal aorta, right and left iliac arteries

Question 57

Risk factors for peptic ulcer disease

Answer 57

H pylori, excessive alcohol, NSAIDs, smoking illness, radiation, Zollinger Ellison syndrome

Question 58

Risk factors for GERD

Answer 58

Obesity, hernia, pregnancy, smoking, dry mouth, asthma, diabetes, scleroderma alcohol

Question 59

What is the method of collection of accurate nursing history in regards to the clients abdomen?

Answer 59

Current symptoms past history, family, history lifestyle

Question 60

Steps to prepare a client for an abdominal examination

Answer 60

Empty the bladder, gown, supine, drape for client, breath through mouth

Question 61

List the equipment needed for an abdominal examination

Answer 61

Pillow or blanket, centimeter ruler, stethoscope, pen, gown

Question 62

Steps of examining the abdomen

Answer 62

Inspect auscultate percuss palpate

Question 63

Describe the order to listen to bowel sounds

Answer 63

Right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant

Question 64

What are the five different tests for appendicitis?

Answer 64

Rebound tenderness, referred, rebound tenderness, psoas sign, obturator sign, hyper sensitivity test

Question 65

What test do you use to detect cholecystitis?

Answer 65

Murphy sign, right upper quadrant pain

Question 66

What is visceral pain?

Answer 66

Hollow abdominal organs become distended or contract forcefully

Question 67

What is parietal pain?

Answer 67

When the parietal peritoneum becomes inflamed

Question 68

What is referred pain?

Answer 68

The travels from the primary site and becomes highly localized at the distance site

Question 69

What are abnormal findings of the abdomen?

Answer 69

Enlarged liver, spleen, kidney gallbladder, liver higher than normal, aortic aneurysm