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Nurs 228 CH 22
Abdomen
| Question | Answer |
|---|---|
| What type of Viscera is the liver? | Solid |
| Where is the live located? | In the RUQ; composed of four lobes it fills most of the RUQand extends to the L midclavicular line |
| Is the Pancreas palpable? | No; it is located mostly behind the stomach deep in the upper abdomen. . |
| Where are the kidneys located? | HIgh and deep under the diaphragm |
| How is abdominal pain described? | as visceral, parietal , or referred |
| When does visceral pain occur? | when hollow abdominal organs such as the intestines, become distended or contract forcefully, or when capsules such as the liver and spleen are stretched. |
| How is visceral pain often characterized? | as dull, aching, burning, cramping, or colicky |
| When does parietal pain | when the parietal peritoneum becomes inflamed, as in appendicitis or peritonitis |
| How is parietal pain characterized? | severe and steady pain |
| Referred pain occurs? | at distant sites that are innervated at the approximately the same levels as the disrupted abdominal organ. |
| This group is at risk for lung aspiration with vomiting | THe elderly or neuromuscular- or consciousness-imparied clients |
| Elderly clients may experience a decline in appetite from such factors as? | altered metabolism, decreased taste sensation, decreased mobility, and possibly depression |
| What are the potential risk and complications that older clients have with diarrhea | fluid volume deficit, dehydration, electrolyte and acid-base imbalances |
| These OTC medications suck aspirin, Ibuprofen and steroids may adversely affect the GI tract by causing _________ | gastric bleeding |
| HIgh Iron intake may lead to _________ | Constipation |
| When observing the coloration of the abdominal skin purple discoloration at the flanks indicates? | (Grey Turner Sign) bleeding within the abdominal wall |
| Pale taunt abdominal skin may be seen with | ascities |
| Dark bluish-pink striae are associated with | Cushing's syndrome |
| Keloids (excess scar tissue) are more common in which ehtnic groups? | African American and Asians |
| The abdominal contour should be either | Flat, rounded, or scaphiod |
| An Asymmetric abdomen may be seen with | organ enlargement, large masses, hernia, diastasis recti, or bowl obstruction |
| Vigorous wide, exaggerated pulsations may be seen with? | abdominal aortic aneurysm |
| Are peristaltic waves visible when observing the abdomen? | Normally the are not seen although they may be visible in very thing people as slight ripples on the abdominal wall. |
| What do hypoactive bowl sounds indicate? | diminished bowel motility |
| hyperactive bowl sounds indicate? | increased bowl motility; common with diarrhea, gastroenteritis or early bowl obstruction |
| What are bruits? | Low pitched murmur like sounds |
| when does a bruit with both systolic and diastolic components occur? | when an artery is turbulent or obstructed |
| What does a bruit heard over the abdominal aorta or renal, iliac or femoral arteries usually indicate? | aneurysm or arterial stenosis |
| What are the characteristic sound that indicate a friction rub over the liver and spleen | high-pitched, rough, grating; occurs when the sliver or spleen rbs the peritoneum |
| What are liver and spleen friction rubs heard in association with? | Respiration |
| A friction rub heard over the lower right costal area is associated with? | hepatic abscess or metastases |
| When palpating the aorta what would a wide bounding pule possibly indicate? | abdominal aortic aneurysm |
Created by:
EL92578
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