Flashcards in Elimination Deck (23)
What are the 9 quadrants of the abdomen?
Right and left hypchondriac
Right and left lumbar
Right and left iliac/inguinal
What is the best position for the patient to lay in if doing a bowel assessment?
Supine position with a pillow underneath their knees and head
How does pregnancy affect elimination?
It puts pressure on the organs responsible for elimination
How does old age affect elimination?
Old age causes a gradual decrease in secretions, peristalsis, and intestinal absorption
What is gastroschsis?
An abdominal wall defect that occurs on the side of the umbilical cord
The baby is born with intestines protruding. There is no protective sac around the intestines
What is omphalocele?
The intestines protruding out of an infant, but with a protective sac around the intestines
What is the normal white blood cell count?
What kind of things would be tested to assess elimination function?
2. H. pylori
3. liver enzymes
4. Pancreatic enzymes
5. KUB (kidney, ureter, and bladder)
What do normal bowels look like?
Are weight changes subjective or objective data?
Are nausea, vomiting, or indigestion subjective or objective data?
In what order would a nurse do a bowel assessment?
What should the abdomen normally look like?
flat, no bulging masses and no pulsations
What should the nurse look for when inspecting the abdomen?
check color, contour, symmetry, and distention
How should a nurse palpate the abdomen?
The nurse should palpate from light to deep pressure
Palpation of the bladder is where on the body?
The supra pubic region
If the nurse feels the bladder above supra pubic region what could that indicate?
Before making a bowel assessment what should you have the patient do?
Empty the bladder
If there is dullness felt during palpation of the abdomen what could that indicate?
Ascites, pregnancy, constipation
How does old age affect the urinary system?
Causes decreased kidney function, decreased thirst, incontinence, capactiy, and nocturia (urinating at night)
What questions should the nurse ask to get subjective data about their urinary system?
1. Can you empty or control urine flow
2. do you get up at night to use the bathroom
3. can you start and stop your stream
4. do you have a history of recent infections
5. Do you have any family history
6. Do you have a history of HTN
7. Have you ever had kidney stones
What is a common complaint for people with an Abdominal Aortic Aneurysm?
Complaining of Back Pain