GI assessment for exam 2

Question 1

when getting a health history for an GI assessment what questions should be asked?

Answer 1

• diet, area of pain (PQRST)
• physical activity
• nausea & vomiting? meds to help?
• indigestion or heartburn?
• abdominal distension? Bowel movements?

Question 2

what are the important general exam techniques for GI assessment?

Answer 2

• good light
• empty bladder
• pt lying supine, arms at side, knees flexed slightly
• examine non painful side first
• visualize underlying anatomy
• watch pt face for signs of discomfort during the exam

Question 3

what is expected findings for the abdomen?

Answer 3

• normal bowel sounds, soft and symmetric w/o distension

Question 4

what is a scaphoid abdomen?

Answer 4

• malnourished, sees ribs

Question 5

what is a protuberant abdomen?

Answer 5

• perturbating

Question 6

what are signs of a non symmetrical abdomen?

Answer 6

• distension due to fluid or air
• budges
• hernia
• lumps or bumps

Question 7

what are the for quadrants of the abdomen?

Answer 7

• Right upper quad
• Left upper quad
• Left lower quad
• Right lower quad

Question 7

what are the two types of normal abdomen movements?

Answer 7

1. surface motion of peristalsis or pulsations

Question 8

when are hypoactive signs present?

Answer 8

• after surgery

Question 9

what are the 4 types of abdomen sounds?

Answer 9

• normoactive
• hyperactive
• hypoactive
• absent

Question 10

when palpating the abdomen what are we palpitating for?

Answer 10

• Palpate lightly for tenderness, muscle tone, and surface characteristics
• No tenderness should be present and the abdominal muscles should be relaxed
• also look for rebound tenderness and bladder distension

Question 11

what is rebound tenderness?

Answer 11

-t o check for rebound tenderness, a nurse applies pressure to an area of your abdomen using their hands. They quickly remove their hands and ask if you feel any pain when the skin and tissue that was pushed down moves back into place.