Operation
Your name is Brittany and you are about to deliver a beautiful boy named Eli. Which of the nine regions would be cut during a C-section?
What is Hypogastric/Suprapubic?
During inspection, what are the two general assessments to make.
What is General appearance and Skin?
Describe a BRUIT. Sounds like a _______, but it is __ ___ ______.
What is Murmur, In a vessel?
You may find this on the skin of an obese or pregnant patient.
What is striae - stretch marks (that can be described as...)?
1. empty bladder
2. warm your hands & stethoscope
3. Nails short
4. Explain to the patient what you are doing before you do them, if the pt is ticklish, place their hands under yours initially.
What is things that help your patient relax before the abdominal exam? Name four things?
The xiphoid process is located in which of the nine regions?
What is Epigastric Region?
Name the abdominal exam order.
Wht is Inspection, Auscultation, Percussion, Palpation?
You are assessing the bowel sounds of your patient who is on a laxative and has had diarrhea all morning. What bowel sounds do you expect to hear?
What is Hyperactive?
You suspect your patient has appendicitis and assess for rebound tenderness. This is how the assessment is done.
What is push in at 90 degrees on the right lower quadrant, and the test is positive if there is pain upon release. (Rebound tenderness)?
Do not percuss patient these two conditions.
What is abdominal aneurysm or transplanted organ?
You are a surgeon scheduled to perform an appendectomy. Name the region you would operate on.
What is Right Inguinal ?
True or False. We should always hear abdominal sounds, even if pt is NPO.
What is TRUE.
You must listen for at least ____ before you say that the pt has absent sound (no bowel sounds).
What is >2-minutes? (or what does F.A. Davis Say?)
A patient comes in with excessive fluid in the abdomen. The patient’s daughter is a first semester nursing student and tells you it is distention. You give her the correct name of this condition.
What is ascites?
Bowel sounds are usually loudest....?
What is before meals.
You are a prepping a patient for gallbladder removal surgery. Before beginning surgery, the surgeon calls a “time out” to mark a X on the correct region. Which of the nine regions should he mark?
What is Right Hypochondriac Region?
Give the rationale for the order of the abdominal exam. Hint: There are two important cautions.
What is 1. Bowel sounds 2.Abdominal aneurysm
What should you hear when you percuss a patient with gas in the GI tract?
What is tympany?
You do this assessment when you suspect kidney infection.
What is costovertebral angle tenderness?
Medications, GI illness, bowel habits, appetite, family history of illness, last menstrual period are all....
What are 4 categories of questions to ask during HPI?
You are a ER nurse and admit a patient with a ruptured spleen. The MD believes a splenectomy would be best. In what quadrant would the surgeon operate on?
What is Left Upper Quadrant?
When you palpate a mass on the abdomen of a patient, you should assess the patient on two different positions.
What is with head flat and head up; Muscles cannot hide mass outside of abdominal cavity?
Your patient is hungry and their stomach is growling loudly. What is the medical term for “stomach growling”?
What is borborygmic?
***DOUBLE JEOPARDY*** Pain radiates. When you have lower back pain, it may originate from the kidneys. When you have mid-abdominal pain, it may mean you have abdominal aneurysm or ulcer. What could it mean when you have pain near your shoulder?
What is gallbladder?
Two abdominal considerations for infant/child and geriatric patients.
Infant: abd. breathers, breast fed stools vs. bottle stools, umbilical cord, protruding abd.
Geri: harder to detect pain and fever. Muscular guarding and rebound tenderness diminished/absent. increased deposits of subcutaneous fat.