Questions And Answers
What is the order of examination for the GI physical assessment? - ANS 1. Inspection
2. Auscultate
3. Percuss
4. Palpation
Abnormal auscultation findings - ANS -hypoactive
-hyperactive
-absent bowel sounds
- Bruit
Abnormal Palpation findings - ANS - hepatomegaly
- splenomegaly
- Rigidity
- Masses
What is an important question to ask your client when obtaining GI history? - ANS When was your
last bowel movement?
M-U-S-T is the acronym for what? - ANS Malnutrition Universal Screening Tool
What parts of the body do you inspect for GI assessment? - ANS Oral cavity, skin, abdomen,
umbilicus, exterior anus
If your patient is missing teeth, what is a concern? - ANS Cannot chew their food
If you see anything pulsating in the abdomen, dont ______ - ANS touch it
What is the accumulation of fluid in the abdomen? - ANS Ascites
, What part of the stethoscope are you listening with for vasculature? - ANS Bell
When you are auscultating an artery, if you hear a "swooshing sound", what might that indicate? -
ANS Obstruction
If you notice a "swooshing"/bruit, what do you do? - ANS Stop the assessment, do not manipulate it
in any way, note everything about it as descriptively as possible and notify provider
What does hypoactive bowel sounds indicate? - ANS - constipation
- just got back from surgery
Hyperactive bowel sounds could indicate what? - ANS - IBS
- diarrhea
- infection
- medications
Absent bowel sounds indicate: - ANS patient could have just had abdominal surgery for 4-5 hours
What is a bruit? - ANS Air embolus, blood clot, obstruction
What does a dull percussion sound mean? - ANS Ascites or solid fluid
What does a tympany percussion sound mean? - ANS Air field/obstruction
What are the 2 concerning sounds when percussing? - ANS Tympanic and dull
If an organ is enlarged, what might your client do when you are assessing? - ANS Guard their
abdomen and grimace in pain
Low H&H could mean what? - ANS Patient is bleeding