EAQ Abdomen

Which statements would the nurse include when teaching an aging adult about prevention of constipation? Select all that apply.

"Do not retain stool deliberately." "Participate in physical exercise." "Drink an adequate quantity of water."

Which teaching points would the nurse review with the parents before discharge for an infant with an umbilical hernia? Select all that apply.

"Hernias usually resolve within a year." "Do not affix a belt or a coin at the hernia site." "The hernia is accentuated with coughing."

Which statement made by a student nurse indicates the need for further teaching related to assessing bowel sounds?

"It is imperative to listen to bowel sounds in all four quadrants."

Which statement by the student indicates a need for more teaching after observing the nurse's assessment of a patient with splenomegaly.

"The spleen would be continuously palpated."

Arrange the steps in the order in which the nurse would inspect the contour of the abdomen.

1. Stand on the patient's right side 2. Look down the abdomen. 3. Maintain a stooping position or sit. 4. Gaze across the abdomen. 5. Determine the abdominal profile.

Arrange the steps of the fluid wave test in order in which the nurse would implement them.

1. The patient is assisted to a supine position. 2. The nurse stands at the patient's right side. 3. The patient places a hand firmly on the midline of the abdomen. 4. The nurse places the left hand on the patient's right flank. 5. The nurse strikes the patient's left flank with the right hand.

Which would the nurse infer when noting a friction rub while auscultation over the lower right rib cage?

Abscess in the liver

Which observation would the nurse associate with abdominal pain related to peritonitis?

Absolute stillness

While assessing a patient with abdominal distention, the nurse observes that the shape of the abdomen is like a single round curve. During palpating, the nurse detects a muscle spasm of the abdominal wall. Which is the likely cause of the abdominal distention?

Air

Which diagnosis is consistent with right lower quadrant (RLQ) pain and an Alvarado score of 8?

Appendicitis

Which is indicative of rebound tenderness in the abdomen?

Appendicitis

Which condition correlates which an increased abdominal girth with tympani at the top of the abdomen during percussion?

Ascites

Which intervention is used to determine Murphy sign?

Ask the patient to take a deep breath while holding the fingers under the liver border.

Which symptoms are expected if a patient with lactose intolerance consumes milk products? Select all that apply.

Bloating Flatulence Abdominal pain

Which pain assessment finding(s) is expected for a patient with a diagnosis of irritable bowel syndrome (IBS)? Select all that apply.

Brought on after meals Described as cramping pains Relieved by bowel movements

Which assessment finding will the nurse document in a patient with an aortic aneurysm?

Bruit on auscultation

Which can the nurse presume when hearing a vascular sound between the xiphoid process and the umbilicus?

Bruits

Which would the nurse suspect after assessing a patient who presents with sudden pain in the right upper quadrant (RUQ) that radiates to the scapula, nausea with vomiting, and who reports a recent fatty meal?

Cholecystitis

Which characteristic helps the nurse distinguish involuntary muscle rigidity?

Constantly feels hard

Which are changes in the gastrointestinal system because of aging? Select all that apply.

Decreased liver size Decreased sense of taste Impaired drug metabolism

Which is the possible cause of scaphoid-shaped abdomen in a 4-year-old patient?

Dehydration

Which problem would the nurse expect to find in a patient with dysphasia?

Difficulty swallowing.

Which characteristics of pain would the nurse relate to a duodenal ulcer? Select all that apply.

Dull, aching, and gnawing pain. Relieved after food intake. Awakens the person from sleep.

During the assessment of a teenager, which findings would the nurse relate to anorexia nervosa? Select all that apply.

Eagerness to lose weight Tries to induce vomiting Appears to be extremely thin

Which term would the nurse use to document the palpating of a small fatty nodule through the linea alba on the abdomen when the patient is standing?

Epigastric hernia

Which is present on the abdomen of a patient with ascites?

Everted umbilicus.

Which conditions would the nurse monitor to evaluate gastrointestinal motility for post-abdominal surgery patient? Select all that apply.

Flatus Bowel movements

Which would the nurse suspect after the patient reports a dull pain in the right upper quadrant (RUQ) of the abdomen along with malaise, anorexia, and nausea?

Hepatitis

Which test would the nurse use to assess a patient with suspected appendicitis pain?

Iliopsoas muscle test

Which assessment findings — in addition to abdominal pain within an hour after a meal — would confirm gastroesophageal reflux disease (GERD)? Select all that apply.

Increased pain while bending over Aggravation of pain when lying down Sensation of burning pain in the midepigastrium

Which is the cause of a marked visible peristalsis?

Intestinal obstruction

Which finding of an umbilical cord during a newborn's assessment is cause for concern?

It has one artery and one vein. (An umbilical cord contains TWO arteries and one vein)

Which are the normal features of the spleen? Select all that apply.

It lies under the diaphragm It lies parallel to the tenth rib. It is a soft mass of lymphatic tissue

Which procedures would the nurse follow when preparing for an abdominal examination? Select all that apply.

Keep the room warm Ask the patient to empty his or her bladder

Which finding is consistent with sudden onset of severe colicky pain in the lower abdomen?

Kidney stones

Which organs are located at the right upper quadrant (RUQ) in the abdomen? Select all that apply.

Liver Gallbladder Duodenum

Which internal organs constitute the solid viscera? Select all that apply.

Liver Kidneys Ovaries

Which feature is specific to the right kidney?

May be palpable

Which would the nurse expect to find during an abdominal assessment on a patient with late portal cirrhosis?

Nodular and enlarged liver

Which stool color is expected for a patient who is taking an iron supplement?

Nontarry black stool.

While caring for a patient with a feeding tube, which assessment must the nurse use to confirm the feeding tube's positon?

Obtain a chest x-ray.

Which soft, oblates gland is located behind the stomach?

Pancreas

Which characteristic helps the nurse differentiate an enlarged kidney from an enlarged spleen?

Percussion is tympanitic

Which condition can the nurse anticipate when finding diminished bowel sounds?

Peritonitis

Which measures must the nurse take while examining the abdomen? Select all that apply.

Place a pillow under the head and the knees. Ask the patient to maintain a supine position. Obtain the abdominal history during palpating.

Which findings during an assessment would the nurse associate with malnutrition? Select all that apply.

Poor skin turgor Scaphoid abdomen Visible abdominal veins

Which assessment finding would the nurse relate to the presence of a large ovarian cyst that is found during a patient's abdominal examination? Select all that apply.

Presence of an everted umbilicus Transmission of aortic pulsation on palpating Presence of a curve in the lower half of the abdomen

Which condition causes the stool to be gray in color?

Presence of jaundice or hepatitis

Which finding would the nurse relate to Cushing syndrome during an assessment?

Purple-blue striae

Which condition during auscultation is associated with a very loud splash in the upper abdomen of an infant who is being rocked from side to side?

Pyloric obstruction

Which is the nurse performing when placing the stethoscope over the xiphoid process while lightly stroking the skin with one finger up the midclavicular line from the right lower quadrant (RLQ)?

Scratch test

Which action would the nurse take to assess the symmetry of the patient's abdomen?

Shine a light lengthwise across the patient.

Which organ is located in all four quadrants of the abdomen?

Small intestine

Which would the nurse expect to find while assessing the abdomen of a patient with chronic emphysema?

The liver appears to be displaced downward

Which finding during an abdominal assessment would the nurse associate with mononucleosis?

The spleen feels soft with rounded edges.

Which finding would the nurse document after inspecting the abdomen of a patient with obesity?

Uniformly rounded with sunken umbilicus

Which finding during the abdominal assessment of a newborn needs further investigation?

Venous hum