GRADED
What organs are in the RUQ?
liver, gallbladder, xiphoid process, duodenum
What organs are in the LUQ?
spleen, stomach, aorta, pancreas, transverse colon
What organs are in the RLQ?
ascending colon, lilac artery, cecum
What organs are in the LLQ?
descending and sigmoid colon
Kidneys are in the _______________ area.
retroperitoneal
Tip for Enhancing Abdominal Assessment
watch pt. face for signs of discomfort
Correct Sequence for Abdominal Assessment
inspection, auscultation, percussion, palpation
Normal Abdominal Contour is.....
flat, rounded, protuberant
Reducible Hernia
able to be pushed back into abdomen, may be popped out again
Incarcerated Hernia
nonreducible but not causing any problems yet
Strangulated Hernia
surgical emergency, abdominal muscles tighten around the section of bowel and cut off
blood supply and oxygen
Normal Bowel Sounds
5-30 per minute, high pitched and gurgling
Hyperactive bowel sounds are common in what kind of patients?
gastroenteritis and diarrhea
Hypoactive bowel sounds are common in what kind of patients?
constipation and paralytic ileus
What do you do if there are absent bowel sounds?
must listen for 5 minutes per quadrant and hear nothing
What does the nurse do if patient complains of discomfort in the epigastric
region?
check EKG to make sure it is not a cardiac problem
Nurses no longer check for rebound tenderness or RLQ d/t possibility of
____________ ____ ______________.
popping the appendix
How do you perform deep palpation?
use two hands, do not palpate if bruits are heard
Normal Percussion sound of Abdomen
tympany