CNUR
107
Lecture
9:
Abdominal
Assessment
4
quadrants
-
ANS-right
upper
(RUQ)
right
lower
(RLQ)
left
upper
(LUQ)
left
lower
(LLQ)
anatomical
landmarks
-
ANS-epigastric
area
umbilical
hypogastric
or
suprapubic
subjective
data
-
ANS-Appetite
Any
changes
in
diet/weight?
Dysphagia
Difficulty
swallowing
Food
intolerance
What
happens
if
you
do
eat
it
Abdominal
pain
If
so,
ask
further-
OPQRSTUV
Nausea/vomiting
Frequency/color/associated
symptoms
Bowel
habits
Usual
pattern,
laxative
use
Past
abdominal
history
Medications
Currently
using
Alcohol
(ETOH)
and
tobacco
use
Nutritional
assessment
24
hour
diet
recall
additional
health
history
for
older
adults
-
ANS-Food
access
How
do
you
get
your
groceries?
Describe
your
meals/snacks
24hr
diet
recall
Do
you
eat
alone?
Or
share
meals
with
others?
Bowel
movements
Usual
bowel
pattern?
client
preparation
for
examination
-
ANS-Preparation
=
client
comfort,
dignity,
and
safety
Position
client
supine,
arms
at
sides,
pillow
under
the
knees
Drape
a
sheet
to
cover
upper
chest
(especially
for
female
clients)
and
genital
areas
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