NUR 2180 Physical Assessment Module 5 Quiz GI,GU,Breast and Axilla|2023 LATEST UPDATE|GUARANTEED SUCCESS

How do we perform light palpation on the abdomen? use first 4 fingers to depress the skin about 1 cm inside and move it in a rotation motion, clockwise. GI assessment order inspect, auscultate, percuss, palpate Why do we listen before we palpate the abdomen? so we do not disrupt or dislodge anything within the bowels. What is voluntary guarding? Patient volitionally tenses the abdominal muscles when the examiner palpates. What things do we feel for when palpating the abdomen? organs, size, consistency, masses, temperature, tenderness, pain, mobility Where do we percuss for kidney tenderness? on the posterior surface at the 12th rib at the CVA angle. How do we percuss for kidney tenderness? indirectly with a hand and fist. look for signs of pain. What are the signs of breast cancer? lumps or masses felt in the breasts or axilla, movable lumps, dimpled or reddened skin, tenderness to touch What is the role of the RN during a male or female GU exam? Assist the provider with the exam by holding the patient, giving them tools, collecting specimens and advocating for the patient. hypoactive bowel sounds are sound every 5-6 seconds normal bowel sounds are sounding 3-4 sec in each quadrant hyperactive bowel sounds are heard 1-2 seconds in each quadrant and are normally very loud absent bowel sounds no sounds in 3-5 minutes How long do we listen to bowel sounds with absent bowel sounds? 5 minutes per quadrant Causes of absent bowel sounds obstruction, anesthesia Causes of hyperactive bowel sounds Crohn's disease Diarrhea Food allergy GI bleeding Infectious enteritis Ulcerative colitis Causes of hypoactive bowel sounds Inflammation of the peritoneum (peritonitis) From paralytic ileus as following abdominal surgery Late bowel obstruction Constipation Which organs are located in the RUQ? Liver; Gallbladder; Colon; Small intestine - portions Which organs are located in the RLQ? appendix, portions of large and small intestine and bladder, and uterus Which organs are located in the LUQ? Spleen L kidney and adrenal L lobe of liver Body of pancreas Splenic flexure of colon Part of descending and transverse colon