Abdomen
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| What type of Viscera is the liver? | Solid
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| Where is the live located? | In the RUQ; composed of four lobes it fills most of the RUQand extends to the L midclavicular line
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| Is the Pancreas palpable? | No; it is located mostly behind the stomach deep in the upper abdomen. .
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| Where are the kidneys located? | HIgh and deep under the diaphragm
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| How is abdominal pain described? | as visceral, parietal , or referred
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| 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.
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| How is visceral pain often characterized? | as dull, aching, burning, cramping, or colicky
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| When does parietal pain | when the parietal peritoneum becomes inflamed, as in appendicitis or peritonitis
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| How is parietal pain characterized? | severe and steady pain
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| Referred pain occurs? | at distant sites that are innervated at the approximately the same levels as the disrupted abdominal organ.
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| This group is at risk for lung aspiration with vomiting | THe elderly or neuromuscular- or consciousness-imparied clients
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| Elderly clients may experience a decline in appetite from such factors as? | altered metabolism, decreased taste sensation, decreased mobility, and possibly depression
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| What are the potential risk and complications that older clients have with diarrhea | fluid volume deficit, dehydration, electrolyte and acid-base imbalances
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| These OTC medications suck aspirin, Ibuprofen and steroids may adversely affect the GI tract by causing _________ | gastric bleeding
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| HIgh Iron intake may lead to _________ | Constipation
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| When observing the coloration of the abdominal skin purple discoloration at the flanks indicates? | (Grey Turner Sign) bleeding within the abdominal wall
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| Pale taunt abdominal skin may be seen with | ascities
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| Dark bluish-pink striae are associated with | Cushing's syndrome
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| Keloids (excess scar tissue) are more common in which ehtnic groups? | African American and Asians
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| The abdominal contour should be either | Flat, rounded, or scaphiod
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| An Asymmetric abdomen may be seen with | organ enlargement, large masses, hernia, diastasis recti, or bowl obstruction
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| Vigorous wide, exaggerated pulsations may be seen with? | abdominal aortic aneurysm
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| 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.
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| What do hypoactive bowl sounds indicate? | diminished bowel motility
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| hyperactive bowl sounds indicate? | increased bowl motility; common with diarrhea, gastroenteritis or early bowl obstruction
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| What are bruits? | Low pitched murmur like sounds
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| when does a bruit with both systolic and diastolic components occur? | when an artery is turbulent or obstructed
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| What does a bruit heard over the abdominal aorta or renal, iliac or femoral arteries usually indicate? | aneurysm or arterial stenosis
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| 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
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| What are liver and spleen friction rubs heard in association with? | Respiration
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| A friction rub heard over the lower right costal area is associated with? | hepatic abscess or metastases
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| When palpating the aorta what would a wide bounding pule possibly indicate? | abdominal aortic aneurysm
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