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Maryville AHA NURS 612 Exam 3 With Questions And 100% ALL SURE ANSWERS
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JACKLINEMaryville AHA NURS 612 Exam 3 With Questions And 100% ALL SURE ANSWERS
Terms in this set (105)
○ Abdominal pain-OLDCARTS
○ When did the pain start?
○ Where is the pain in your stomach?
○ Does the pain radiate to other locations?
HPI questions for chief complaint of abdominal
○ Have experience nausea/vomiting, indigestion or increase in belching.
issue
○ What medications have you used to treat your symptoms?
○ Have you had any diarrhea or constipation?
○ Do you have to use laxative frequently?
○ What is your regular dietary habits?
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, -Abdominal contour
-Symmetry
-Umbilicus
-Skin Color
-Vascularity
inspection of abdomen -Scars
-Striae
-Lesions or rashes
-Abdominal movement when breathing
-Aortic pulsation
-Have patient raise head while laying down and look for masses hernia or muscle separation
Maryville AHA NURS 612 Exam 3
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, 9/15/24, 10:11 AM
inspection, auscultation, percussion, palpation
Abdominal assessment order
Always auscultate prior to percussion and palpation as it can change sound.
Bowel sounds in all four quadrants- note frequency and character
listen for friction rubs over liver and spleen
Abdomen Auscultation
listen for bruits over the aortic, renal, illiac and femoral arteries
listen for venous hum around epigastric area above the belly button
○ Bruits- A swishing sound heard over the aortic, renal iliac, and femoral arteries, indicating
narrowing or aneurysm.
○ Pop/Tinkles- High pitch sound suggesting intestinal fluid and air under pressure, as in early
obstruction.
○ Rushes- Rushes of high-pitched sounds that coincide with cramping suggests intestinal
obstruction.
○ Borborygmi- Increased prolonged gurgles occur with gastroenteritis, early intestinal
obstruction, and hunger.
Abdominal findings abdomen
○ Rubs- Grating sounds that vary with respiration. Indicate inflammation of the peritoneal surface
of an organ from tumor, infection, or splenic infarct.
○ Venous Hum- A soft humming noise often heard in hepatic cirrhosis that is caused by increased
collateral circulation between portal and systemic venous system.
○ Succussion splash- A splashing noise produced by shaking the body when there is both gas and
fluid in a cavity or free air in the peritoneum or thorax.
○ Decreased/absent bowel sounds- Occurs with peritonitis or paralytic ileus.
Maryville AHA NURS 612 Exam 3
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