nura 304 ch 23 assessing abdomen missed prepu

obturator sign

(appendicitis) pain in the right lower quadrant as a result of the nurse flexing the client's hip and rotating the leg externally and internally while supporting the client's right knee and ankle

Place the client's hand under the nurse's hand for a few moments

A nurse is attempting to palpate the abdomen of a 6-year-old girl, but the girl is so ticklish that the nurse cannot proceed. Which of the following should the nurse do?

Full bladder Uterine enlargement Ovarian tumor Impacted colon

A nurse observes the abdomen of a client and notices it to be distended below the umbilicus. The nurse recognizes that this can be caused by which of these conditions? Select all that apply.

Stop the palpation and notify the health care provider

A nurse performs light palpation of the abdomen and feels a prominent, nontender, pulsating mass above the umbilicus that measures approximately 6 cm. What is an appropriate action by the nurse?

Spleen

A nurse performs percussion beginning along the left midaxillary line and progressing downward until the sound changes from lung resonance to splenic dullness. The client reports tenderness. The nurse recognizes this as an abnormal finding for which organ?

Murphy's

During the abdominal examination, a nurse presses her fingers at the client's right costal margin and tells the client to inhale. At this point, the client holds his breath as a result of experiencing a sharp pain where the nurse is pressing. This test is positive for which sign?

Place left hand on right lower rib cage, strike it with ulnar side of right fist

How should the nurse perform blunt percussion over the liver?

Irritable bowel syndrome

Monique is a 33-year-old administrative assistant who has had intermittent lower abdominal pain approximately one week a month for the past year. It is not related to her menses. She notes relief with defecation, and a change in form and frequency of her bowel movements with these episodes. Which of the following is most likely?

a kidney problem such as infection (pyelonephritis), renal calculi, or hydronephrosis

Tenderness of the costovertebral angles indicates

abdominal oblique

The abdominal contents are enclosed externally by the abdominal wall musculature—three layers of muscle extending from the back, around the flanks, to the front. The outer muscle layer is the external

Acute pancreatitis

The client has epigastric pain that is poorly localized and radiates to the back. What would be an important diagnosis to assess for?

RUQ

The nurse correctly identifies the gallbladder is located where?

Cirrhosis and nephrosis

The nurse is assessing a client and notes dullness to percussion in the lowest point of the abdomen. When rolling the client to the left, the nurse notes that there is now dullness on the left side. This indicates ascites, which can be caused by

Suprapubic

The nurse is assessing a client with a bladder disorder. Where would the nurse expect the pain to be?

Tympany

The nurse is assessing the abdomen of a client. While percussing the abdomen, what normal sound does the nurse expect to hear?

Fluid accumulating in the abdominal cavity

The nurse notes that a client's abdominal skin is pale and taut. What should the nurse suspect is causing this finding?

deep in the upper abdomen and is not normally palpable.

The pancreas of an adult client is located

place the right hand below the left costal margin.

To palpate the spleen of an adult client, the nurse should

Hypogastric

What term would the nurse use to document a client's report of pain in the lower-middle area of the abdomen?

Cirrhosis

When palpating a client's abdomen, the nurse notes that the liver has a firm edge. What is the likely cause of his abnormal characteristic?

True

When the spleen enlarges, the nurse would not be surprised to percuss dullness over the stomach.

Spleen

Which organ that resides in the abdominal cavity stores red blood cells and platelets, produces new red blood cells and macrophages, and activates B and T lymphocytes?

Murphy's sign

assessment of cholecystitis (inflammation of gallbladder) and is elicited by pressing the fingers at the client's right costal margin and telling the client to inhale

Percussion of the spleen

begins in the left midaxillary line and progresses downward until the sound changes from lung resonance to splenic dullness

Acute pancreatitis

causes epigastric and left upper quadrant pain and often radiates into the back. There is often a history of long-standing gallbladder disease or recent alcohol ingestion. Severe abdominal pain and vomiting are often seen

Percussion for liver

elicited by placing the left hand flat against the lower rib cage and striking it with the ulnar side of the right fist.

liver

has a variety of functions to include detoxification, protein synthesis, and the production of biochemical used in the digestion process.

costovertebral angles

located at the twelfth rib posteriorly

Rovsing's sign

pain caused by deep palpation in the left lower quadrant. (appendicitis)

psoas sign

pain in the right lower quadrant on hyperextension of the client's right leg and indicates appendicitis

Blumberg sign

rebound tenderness. a sharp, stabbing pain as the examiner releases pressure from the abdomen. indicated peritonitis

pancreas

resides in the abdominal cavity and is an endocrine gland producing several important hormones, including insulin

spleen

resides in the abdominal cavity and stores red blood cells and platelets, produces new red blood cells and macrophages, and activates B and T lymphocytes

gallbladder

stores bile before it is released into the small intestine