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Abdomen ATI test

QuestionAnswer
Unexpected findings when inspecting abdomen Everted Umbilicus (can indicate abdominal mass or obesity) Purple striae (could be signs of weight gain or loss) Rash (indication of allergic reaction)
Expected findings healed scars moles (nevi) silver striae (stretch marks)
what should be reported to provider involuntary rigidity ( board like, hardness, or pain) possible abdominal mass or peritoneum
Probiotics benefit promote good bacteria grown in intestinal tract
Purpose of Fiber allows larger stool to soften and pass easier
ways to prevent constipation whole grains drink 8 to 10 glasses a water a day consume 2 to 3 servings of veggies fiber high diet (legumes)
voluntary guarding ticklish client (clients hand should be under the nurse)
involuntary rigidity abdomen feels board-like
equipment that should be used Stethoscope watch Tape Measure
order of palpating a clients abdomen clients ares to the side
list the steps of light palpation -place the clients arms at their sides -use the finger pads of one hand to palpate -depress the clients abdomen using a dipping motion -move fingers across the clients abdomen moving clockwise -palpate painful areas
which quadrants should the nurse listen to first? right lower quadrant
things to know when taking an abdominal health history assessment do you take any medication? have you noticed a change in your appetite? when was your last bowel movement ? Are you experiencing abdominal pain?
Unexpected finding of the umbilicus swelling ( can indicate hernia)
Hypoactive bowel sounds auscultated less than 1 min (impaired peristalsis)
Absent Bowel sounds absent after 5 mins (intestinal obstruction) notify provider
Hyperactive sounds (borborygmi) auscultated every 3 sec
Normoactive bowel sounds high-pitched sounds ( 5 to 30 times per min)
manifestation of liver disease Dilated veins and spider angiomas on abdomen
screening prevention for colorectal cancer recal occult test flex sigmoidoscopy colonoscopy Barium enema with contrast
what direction should you palpate the abdomen clockwise
Created by: nurseb4nurse
 

 



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