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Questions and Answers
What is the primary purpose of percussion in the abdominal examination?
What is the primary purpose of percussion in the abdominal examination?
- To determine the size and location of abdominal organs (correct)
- To administer medication directly
- To promote relaxation in patients
- To assess patients' pain levels
Which percussion sound is typically associated with the presence of air in the abdomen?
Which percussion sound is typically associated with the presence of air in the abdomen?
- Flat
- Tympanic (correct)
- Resonant
- Dull
What type of sound would you expect to hear over fluid or solid organs during percussion?
What type of sound would you expect to hear over fluid or solid organs during percussion?
- Dull (correct)
- Tympanic
- Resonant
- Hyper-resonant
In which of the following scenarios is abdominal percussion contraindicated?
In which of the following scenarios is abdominal percussion contraindicated?
What characteristic describes the tympanic sound heard during abdominal percussion?
What characteristic describes the tympanic sound heard during abdominal percussion?
What depth should the abdomen be palpated during the examination?
What depth should the abdomen be palpated during the examination?
What should a nurse assess for during abdominal palpation?
What should a nurse assess for during abdominal palpation?
Who is authorized to perform deep abdominal palpation?
Who is authorized to perform deep abdominal palpation?
In what manner should the abdomen be palpated?
In what manner should the abdomen be palpated?
Which of the following is NOT an assessment made during abdominal palpation?
Which of the following is NOT an assessment made during abdominal palpation?
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Study Notes
Percussion in Abdominal Assessment
- Percussion is used to assess the size and position of abdominal organs.
- Helps in detecting the presence of fluid, air, and masses in the abdomen.
Types of Percussion Sounds
-
Tympanic Sound
- High-pitched and loud, resembling a musical tone.
- Typically heard over areas of air, indicating hollow organs like the stomach or intestines.
-
Dull Sound
- Thud-like quality, indicating presence of fluid or solid organs.
- Commonly heard over organs such as the liver or in the presence of ascites.
Important Considerations
- Avoid abdominal percussion in patients with suspected abdominal aneurysms.
- Exercise caution in clients with abdominal organ transplants to prevent complications.
Palpation of the Abdomen
- Light palpation involves gently pressing 1-2 cm into the abdomen, moving through each quadrant.
- Purpose of palpation includes:
- Detecting masses present in the abdomen.
- Evaluating for rebound tenderness, which can indicate underlying issues.
- Checking for abdominal rigidity, which may suggest inflammation or other conditions.
- Deep abdominal palpation should only be performed by a skilled nurse due to the risk of causing harm if not executed properly.
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