Podcast
Questions and Answers
Which of the following is a characteristic of pyloric stenosis in a newborn?
Which of the following is a characteristic of pyloric stenosis in a newborn?
- Projectile vomiting (correct)
- Palpable olive-sized mass in the right lower quadrant
- Hypoactive bowel activity
- Pronounced peristaltic waves crossing from right to left
What is typically palpable during routine examination in most aortic aneurysms?
What is typically palpable during routine examination in most aortic aneurysms?
- A pulsating mass is usually present (correct)
- Femoral pulses are increased
- A bruit is absent
- Most are located below the umbilicus
When percussing the seventh right intercostal space at the midclavicular line over the liver, which sound should the nurse expect to hear?
When percussing the seventh right intercostal space at the midclavicular line over the liver, which sound should the nurse expect to hear?
- Resonance
- Hyperresonance
- Tympany
- Dullness (correct)
Which structure is located in the left lower quadrant of the abdomen?
Which structure is located in the left lower quadrant of the abdomen?
A patient having difficulty swallowing medications and food is documented to have:
A patient having difficulty swallowing medications and food is documented to have:
How should the nurse assess for a distended bladder?
How should the nurse assess for a distended bladder?
What could black, tarry stool indicate?
What could black, tarry stool indicate?
What percussion notes are included in abdominal assessment?
What percussion notes are included in abdominal assessment?
What is the significance of tenderness on light palpation in the right lower quadrant?
What is the significance of tenderness on light palpation in the right lower quadrant?
What does abdominal rigidity with acute abdominal condition indicate in older adults?
What does abdominal rigidity with acute abdominal condition indicate in older adults?
What does tympanic percussion note in the umbilical region indicate?
What does tympanic percussion note in the umbilical region indicate?
What could esophageal reflux during pregnancy cause?
What could esophageal reflux during pregnancy cause?
What is pernicious anemia related to?
What is pernicious anemia related to?
What does sharp pain along costovertebral angles indicate?
What does sharp pain along costovertebral angles indicate?
What does ascites indicate?
What does ascites indicate?
What is deep palpation during abdominal assessment used for?
What is deep palpation during abdominal assessment used for?
What is the condition of abdominal musculature in older adults?
What is the condition of abdominal musculature in older adults?
How do older adults with acute abdominal conditions often complain about pain compared to younger people?
How do older adults with acute abdominal conditions often complain about pain compared to younger people?
What does a protuberant abdomen indicate?
What does a protuberant abdomen indicate?
What are normal abdominal assessment findings?
What are normal abdominal assessment findings?
What is the cause of hypoactive bowel sounds?
What is the cause of hypoactive bowel sounds?
What should be avoided in cases of suspected spleen injury?
What should be avoided in cases of suspected spleen injury?
What are normal abdominal aortic pulsations?
What are normal abdominal aortic pulsations?
What is the term for hyperactive bowel sounds felt as stomach growling?
What is the term for hyperactive bowel sounds felt as stomach growling?
What decreases with aging, leading to decreased salivation and delayed esophageal emptying?
What decreases with aging, leading to decreased salivation and delayed esophageal emptying?
What is the term for a concave abdomen from a horizontal plane?
What is the term for a concave abdomen from a horizontal plane?
What precedes percussion and palpation of the abdomen to prevent distortion of bowel sounds?
What precedes percussion and palpation of the abdomen to prevent distortion of bowel sounds?
What is the term for high-pitched, gurgling, and irregular bowel sounds originating from the small intestine?
What is the term for high-pitched, gurgling, and irregular bowel sounds originating from the small intestine?
What does abdominal borborygmi indicate?
What does abdominal borborygmi indicate?
What should be avoided to prevent rupture in cases of suspected spleen injury?
What should be avoided to prevent rupture in cases of suspected spleen injury?
Study Notes
Abdominal Assessment: Key Points
- Dull percussion sounds and firm palpation over midline area indicate a distended bladder.
- Gastric acid secretion decreases with aging, leading to decreased salivation, delayed esophageal emptying, and decreased liver size.
- In cases of suspected spleen injury, an enlarged spleen should not be palpated to avoid rupture.
- A bulging and stretched abdomen is described as protuberant, not obese, herniated, or scaphoid.
- A scaphoid contour of the abdomen is concave from a horizontal plane.
- Abdominal pulsations between xiphoid process and umbilicus are normal abdominal aortic pulsations.
- Hypoactive bowel sounds can be caused by peritonitis, paralytic ileus, or late bowel obstruction.
- Auscultation precedes percussion and palpation of the abdomen to prevent distortion of bowel sounds.
- Bowel sounds are high-pitched, gurgling, and irregular, originating from the small intestine.
- Borborygmi refers to hyperactive bowel sounds, felt as stomach growling.
- Normal abdominal assessment findings include soft, non-tender abdomen with positive bowel sounds.
- Abdominal borborygmi indicates hyperperistalsis, not a friction rub or hypoactive bowel sounds.
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Description
Test your knowledge of abdominal assessment key points with this quiz. Explore terms such as distended bladder, gastric acid secretion, splenic injury, protuberant abdomen, scaphoid contour, abdominal pulsations, hypoactive bowel sounds, and borborygmi.
