18 Questions
Which abdominal assessment technique involves listening for bowel sounds?
Auscultation
During abdominal assessment, which quadrant contains the stomach, spleen, and left lobe of the liver?
Left Upper Quadrant (LUQ)
Which part of the abdomen may contain the left ovary and tube, left ureter, and left spermatic cord?
Left Upper Quadrant (LUQ)
For which symptom should a healthcare provider inquire about difficulty swallowing and changes in appetite during a health history assessment?
Difficulty tolerating foods
When assessing the abdomen, which technique involves feeling for skin changes, dilated veins, and umbilicus location?
Inspection
Which abdominal assessment technique identifies the abdomen's symmetry, contour, and any distension after eating?
Inspection
What is the purpose of performing light palpation over the quadrants of the abdomen?
To detect areas of tenderness and muscle guarding
Which technique should be used to begin palpation in a nontender quadrant of the abdomen?
Depressing the abdominal wall lightly with the pads of the fingers
What is the purpose of placing small pillows beneath the knees and exposing the client's abdomen during an abdominal assessment?
To prevent chilling and shivering that can tense the abdominal muscles.
How should the client’s position be during abdominal palpation to aid in relaxation of the muscles?
Supine
What is the primary purpose of palpating the spleen during an abdominal assessment?
To assess for tenderness or pain in the upper abdomen
Why is it important for the client to breathe through the mouth and take slow, deep breaths during an abdominal examination?
To help relax the abdominal muscles for a more accurate assessment.
What should the client be instructed to do before beginning the abdominal examination to ensure better assessment results?
Empty the bladder and remove clothes, putting on a gown.
Which action is recommended if the client is ticklish during the abdominal examination?
Press the hand lightly on the client's abdomen
What should the examiner do if they observe muscle guarding during abdominal palpation?
Document the muscle guarding and continue assessment
Why is it recommended to check the doctor's order before performing an abdominal assessment?
To confirm the necessity of the assessment procedure.
What is the purpose of draping the client with sheets during an abdominal examination?
To allow visibility of the abdomen from the lower rib cage to the pubic area.
What should be done to prepare for an abdominal assessment before interacting with the client?
Wash hands, apply gloves, and follow infection prevention protocols.
Study Notes
Abdominal Assessment Techniques
- Four abdominal assessment techniques: Inspection, Auscultation, Percussion, and Palpation
- These techniques are used to assess the abdomen and identify potential issues
Right Upper Quadrant (RUQ)
- Includes the right lobe of the liver, gallbladder, and parts of the transverse and descending colon
- Important structures to be aware of during assessment
Left Upper Quadrant (LUQ)
- Includes the stomach, spleen, left lobe of the liver, body of the pancreas, left kidney and adrenal, and parts of the transverse and descending colon
- Important structures to be aware of during assessment
Right Lower Quadrant (RLQ)
- Includes parts of the descending colon, sigmoid colon, left ovary and tube, left ureter, and left spermatic cord
- Important structures to be aware of during assessment
Subjective Data (Health History Questions)
- Ask about:
- Changes in appetite and weight
- Difficulty swallowing or tolerating certain foods
- Nausea, vomiting, indigestion, heartburn, or belching
- Abdominal pain and its association with eating
- Bowel habits and any recent changes
- Laxative use and frequency
Abdominal Anatomy
- Important structures to be aware of during assessment, including:
- Descending colon, sigmoid colon, left ovary and tube, left ureter, and left spermatic cord
- Abdominal muscles and their relaxation
Assessing the Abdomen
-
Light Palpation:
- Perform light palpation to detect areas of tenderness and/or muscle guarding
- Systematically explore all four quadrants
- Ensure proper client positioning and warm hands
-
Palpating the Spleen:
- Stand at the client's right side and reach over the abdomen with your left arm
- Place your hand under the posterior lower ribs and pull up gently
- Observe for masses, hernias, and other abnormalities
Performance Preparation
-
Pre-Assessment:
- Check the doctor's order
- Perform hand hygiene and apply gloves
- Prepare equipment and introduce yourself to the client
- Explain the procedure and obtain consent
-
Client Preparation:
- Ask the client to empty their bladder
- Ensure the room is warm and the client is comfortable
- Instruct the client to remove clothes and put on a gown
- Drape the client with sheets to expose the abdomen
- Instruct the client to breathe through their mouth and take slow, deep breaths
Prepare for an abdominal physical examination by learning about observable masses, movement, and inquiring about the client's medical history. Practice assisting the client into a supine position with proper arm placement.
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