NR 304 EDAPT WK2
Which organs are located in the upper right quadrant? Select all that apply. - answer
Gallbladder
Head of pancreas
Liver
The correct order of assessing the abdomen is - answer inspection
Auscultation
Palpation
In which situation is the passage of sticky, greenish-black stool normal? - answer Within
24 hours of birth
Which question would be most important to ask during a gastrointestinal assessment? -
answer “Have you had any unintentional weight loss or gain?"
What terms would be appropriate to document from the following image? Select all that
apply. - answer Rounded
Striae
Scarring in the right lower quadrant (RLQ)
Normoactive bowel sounds are_____while hyperactive bowel sounds are_____and
hypoactive bowel sounds are____ - answerbetween 5 and 30 sounds per minute
>30 sounds per minute
<5 sounds per minute
Which cues does the nurse use light palpation to assess for? - answerMasses
Which physiological change associated with aging contributes to altered gastrointestinal
(GI) function in the older adult? - answerDecreased digestive enzymes
A client has been diagnosed with appendicitis. The client presents with a lowgrade fever
and pain in the____which radiates to the___area. - answerright lower quadrant
umbilical
The nurse is planning to assess the abdomen of an adult client. Drag the action that
should be done first into the box. - answerAsk the client to empty the bladder.
Normal Versus Abnormal Gastrointestinal Findings
Indicate if each assessment finding is normal or abnormal by placing a check in the
corresponding column. - answerNormal Assessment Findings
Potbelly appearance in a toddler
, Fundal height above the umbilicus in a woman 36 weeks pregnant
Borborygmi in a client who is nothing by mouth (NPO)
Abnormal Assessment Findings
Dark tarry stools
Pain with palpation of the liver
Hypoactive bowel sounds in an older adult
Abdominal breathing in a 16-year-old client
To auscultate the abdomen of an adult, where should the nurse begin the assessment?
- answerRight lower quadrant
For which time period would the nurse conclude that the client had no bowel sounds? -
answer5 minutes
The nurse is performing a focused assessment on a 79-year-old client. Which statement
by the client is unexpected? - answer"I have been having loose stools every day for the
last 3 months."
During palpation of the abdomen, the client reports pain in the right lower quadrant. The
nurse interprets that this finding could indicate a problem with which of these
structures? - answerAppendix
Abdominal Inspection
Using the picture below, inspect this client's abdomen. What should the nurse include in
the documentation? Select all that apply. - answerStriae
Umbilical hernia
Protuberant
Stool For each stool image, specify if the stool is normal or abnormal, according to the
Bristol Stool Chart. - answerBristol Type 1 abnormal
Bristol Type 2 abnormal
Bristol Type 3 normal
Bristol Type 4 normal
Bristol Type 5 abnormal
Bristol Type 6 abnormal
Bristol Type 7 abnormal
Which type of disease is Crohn's disease? - answerinflammatory
Gastrointestinal Risk Factors
Drag the risk factors for Crohn's disease to the correct category. - answerModifiable
Risk Factors
Sedentary lifestyle
Cigarette smoking
Nonsteroidal anti-inflammatory (NSAID) medication use
Non-Modifiable Risk Factors
Which organs are located in the upper right quadrant? Select all that apply. - answer
Gallbladder
Head of pancreas
Liver
The correct order of assessing the abdomen is - answer inspection
Auscultation
Palpation
In which situation is the passage of sticky, greenish-black stool normal? - answer Within
24 hours of birth
Which question would be most important to ask during a gastrointestinal assessment? -
answer “Have you had any unintentional weight loss or gain?"
What terms would be appropriate to document from the following image? Select all that
apply. - answer Rounded
Striae
Scarring in the right lower quadrant (RLQ)
Normoactive bowel sounds are_____while hyperactive bowel sounds are_____and
hypoactive bowel sounds are____ - answerbetween 5 and 30 sounds per minute
>30 sounds per minute
<5 sounds per minute
Which cues does the nurse use light palpation to assess for? - answerMasses
Which physiological change associated with aging contributes to altered gastrointestinal
(GI) function in the older adult? - answerDecreased digestive enzymes
A client has been diagnosed with appendicitis. The client presents with a lowgrade fever
and pain in the____which radiates to the___area. - answerright lower quadrant
umbilical
The nurse is planning to assess the abdomen of an adult client. Drag the action that
should be done first into the box. - answerAsk the client to empty the bladder.
Normal Versus Abnormal Gastrointestinal Findings
Indicate if each assessment finding is normal or abnormal by placing a check in the
corresponding column. - answerNormal Assessment Findings
Potbelly appearance in a toddler
, Fundal height above the umbilicus in a woman 36 weeks pregnant
Borborygmi in a client who is nothing by mouth (NPO)
Abnormal Assessment Findings
Dark tarry stools
Pain with palpation of the liver
Hypoactive bowel sounds in an older adult
Abdominal breathing in a 16-year-old client
To auscultate the abdomen of an adult, where should the nurse begin the assessment?
- answerRight lower quadrant
For which time period would the nurse conclude that the client had no bowel sounds? -
answer5 minutes
The nurse is performing a focused assessment on a 79-year-old client. Which statement
by the client is unexpected? - answer"I have been having loose stools every day for the
last 3 months."
During palpation of the abdomen, the client reports pain in the right lower quadrant. The
nurse interprets that this finding could indicate a problem with which of these
structures? - answerAppendix
Abdominal Inspection
Using the picture below, inspect this client's abdomen. What should the nurse include in
the documentation? Select all that apply. - answerStriae
Umbilical hernia
Protuberant
Stool For each stool image, specify if the stool is normal or abnormal, according to the
Bristol Stool Chart. - answerBristol Type 1 abnormal
Bristol Type 2 abnormal
Bristol Type 3 normal
Bristol Type 4 normal
Bristol Type 5 abnormal
Bristol Type 6 abnormal
Bristol Type 7 abnormal
Which type of disease is Crohn's disease? - answerinflammatory
Gastrointestinal Risk Factors
Drag the risk factors for Crohn's disease to the correct category. - answerModifiable
Risk Factors
Sedentary lifestyle
Cigarette smoking
Nonsteroidal anti-inflammatory (NSAID) medication use
Non-Modifiable Risk Factors
