NUR 2180 Physical Assessment Quiz
3questions and answers
absent bowel sounds - -------CORRECT ANSWER----no sounds in 3-5 minutes
Causes of absent bowel sounds - -------CORRECT ANSWER----obstruction, anesthesia
Causes of hyperactive bowel sounds - -------CORRECT ANSWER----Crohn's disease
Diarrhea
Food allergy
GI bleeding
Infectious enteritis
Ulcerative colitis
Causes of hypoactive bowel sounds - -------CORRECT ANSWER----Inflammation of the peritoneum
(peritonitis)
From paralytic ileus as following abdominal surgery
Late bowel obstruction
Constipation
epigastric region - -------CORRECT ANSWER----superior to the umbilical region
GI assessment order - -------CORRECT ANSWER----inspect, auscultate, percuss, palpate
How do we percuss for kidney tenderness? - -------CORRECT ANSWER----indirectly with a hand and fist.
look for signs of pain.
, How do we perform light palpation on the abdomen? - -------CORRECT ANSWER----use first 4 fingers to
depress the skin about 1 cm inside and move it in a rotation motion, clockwise.
How do you test for rebound tenderness? - -------CORRECT ANSWER----the provider presses on umbilicus
and RLQ and when pressure removed, pain will occur
How long do we listen to bowel sounds with absent bowel sounds? - -------CORRECT ANSWER----5
minutes per quadrant
How should you assess the abdomen? - -------CORRECT ANSWER----RLQ at the ileocecal valve area
because bowel sounds normally present here. Listening to all four quadrants not necessary.
hyperactive bowel sounds are - -------CORRECT ANSWER----heard 1-2 seconds in each quadrant and are
normally very loud
hypoactive bowel sounds are - -------CORRECT ANSWER----sound every 5-6 seconds
hypogastric region - -------CORRECT ANSWER----inferior to the umbilical region
indication of appendicitis - -------CORRECT ANSWER----rebound tenderness, RLQ pain
left hypochondriac region - -------CORRECT ANSWER----left upper region below the rib cartilage
left iliac region - -------CORRECT ANSWER----lower left region
left lumbar region - -------CORRECT ANSWER----left lateral region in the middle row
normal bowel sounds are - -------CORRECT ANSWER----sounding 3-4 sec in each quadrant
protruberant abdomen - -------CORRECT ANSWER----stomach is very pushed out
3questions and answers
absent bowel sounds - -------CORRECT ANSWER----no sounds in 3-5 minutes
Causes of absent bowel sounds - -------CORRECT ANSWER----obstruction, anesthesia
Causes of hyperactive bowel sounds - -------CORRECT ANSWER----Crohn's disease
Diarrhea
Food allergy
GI bleeding
Infectious enteritis
Ulcerative colitis
Causes of hypoactive bowel sounds - -------CORRECT ANSWER----Inflammation of the peritoneum
(peritonitis)
From paralytic ileus as following abdominal surgery
Late bowel obstruction
Constipation
epigastric region - -------CORRECT ANSWER----superior to the umbilical region
GI assessment order - -------CORRECT ANSWER----inspect, auscultate, percuss, palpate
How do we percuss for kidney tenderness? - -------CORRECT ANSWER----indirectly with a hand and fist.
look for signs of pain.
, How do we perform light palpation on the abdomen? - -------CORRECT ANSWER----use first 4 fingers to
depress the skin about 1 cm inside and move it in a rotation motion, clockwise.
How do you test for rebound tenderness? - -------CORRECT ANSWER----the provider presses on umbilicus
and RLQ and when pressure removed, pain will occur
How long do we listen to bowel sounds with absent bowel sounds? - -------CORRECT ANSWER----5
minutes per quadrant
How should you assess the abdomen? - -------CORRECT ANSWER----RLQ at the ileocecal valve area
because bowel sounds normally present here. Listening to all four quadrants not necessary.
hyperactive bowel sounds are - -------CORRECT ANSWER----heard 1-2 seconds in each quadrant and are
normally very loud
hypoactive bowel sounds are - -------CORRECT ANSWER----sound every 5-6 seconds
hypogastric region - -------CORRECT ANSWER----inferior to the umbilical region
indication of appendicitis - -------CORRECT ANSWER----rebound tenderness, RLQ pain
left hypochondriac region - -------CORRECT ANSWER----left upper region below the rib cartilage
left iliac region - -------CORRECT ANSWER----lower left region
left lumbar region - -------CORRECT ANSWER----left lateral region in the middle row
normal bowel sounds are - -------CORRECT ANSWER----sounding 3-4 sec in each quadrant
protruberant abdomen - -------CORRECT ANSWER----stomach is very pushed out