RUQ
What does borborygmus mean?
Rumbling or gurgling of the stomach. Hyperactive bowel sound.
T or F? Aging females have a higher risk of gallstones.
True
What are we listening for when we auscultation the abdomen?
Bruits and bowel sounds
Nursing implications for celiac disease?
Watch for malabsorption in small intestine
The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver. Which sound should the nurse expect to hear?
a. Dullness
b. Tympany
c. Resonance
d. Hyperresonance
ANS: A
The liver is located in the right upper quadrant and would elicit a dull percussion note.
What are the causes of hypoactive bowel sounds?
Peritonitis, Ileus (intestines stop working temporarily), late bowel obstruction
How are hep a and b spread?
Blood and bodily fluids
What is the cause of lactose intolerance aka big booty baddie syndrome?
Lack of the lactase enzyme
What can celiac disease cause?
Abdominal pain and distention, abnormal liver, neuropathy, low calcium, anaemia
The nurse suspects that a patient has a distended bladder. How should the nurse assess for this condition?
A. Percuss and palpate in the lumbar region.
B. Inspect and palpate in the epigastric region.
C. Auscultate and percuss in the inguinal region.
D. Percuss and palpate the midline area above the suprapubic bone.
ANS: D
Dull percussion sounds would be elicited over a distended bladder, and the hypogastric area would seem firm to palpation.
Sharp pain that occurs with kidney inflammation or perinephric area
Costovertebral angle tenderness
Chronic Hel increases the risk of what?
Liver cancer
Which population is more likely to have lactose intolerance?
African Americans and Hispanics
How is hep b most commonly spread? hep c?
Hep b: perinatally
hep c: current or past injection drug use
A patients abdomen is bulging and stretched in appearance. The nurse should describe this finding as:
a. Obese.
b. Herniated.
c. Scaphoid.
d. Protuberant.
ANS: D
A protuberant abdomen is rounded, bulging, and stretched. A scaphoid abdomen caves inward.
Where does fat accumulation happen the most in again adults?
Suprapubic (stomach)
What is hepatitis?
Inflammation of the liver
What do we have to watch for in people with lactose intolerance?
Deficiency in calcium, magnesium, potassium, and B12
Primary prevention for hepatitis?
Vaccines, providing education resources
While examining a patient, the nurse observes abdominal pulsations between the xiphoid process and umbilicus. The nurse would suspect that these are:
a. Pulsations of the renal arteries.
b. Pulsations of the inferior vena cava.
c. Normal abdominal aortic pulsations.
d. Increased peristalsis from a bowel obstruction.
ANS: C
Normally, the pulsations from the aorta are observed beneath the skin in the epigastric area, particularly in thin persons who have good muscle wall relaxation.
Why is there a risk of side effects occurrences with meds for aging adults?
Poly pharmacy; liver size decreases and drug metabolism is impaired
What are some signs of abnormal abdomen findings when palpating? (in the context of what the patient will do)
Muscle guarding, involuntary rigidity, tenderness
What is celiac disease?
Hypersensitivity to gluten products
Secondary prevention for hepatitis?
Antiviral treatment
The physician comments that a patient has abdominal borborygmi. The nurse knows that this term refers to:
a. Loud continual hum.
b. Peritoneal friction rub.
c. Hypoactive bowel sounds.
d. Hyperactive bowel sounds.
ANS: D
Borborygmi is the term used for hyperperistalsis when the person actually feels his or her stomach growling.