Card Set Information
Nurs112 also peripheral review
Inflamation of a vein... usually due to a clot.
arteriol disease makes the skin
pale and shiney
venous disease makes the skin
ruddy color... rough, dry, and scaley.
a thrill palpated on the chest is caused by....
after surgery, snoring, shallow respirations, and a drop in pulse ox would indicate
a reaction to a medication
the largest solid organ in the abdomen is
What are hollow organs in the abdomen
intestines, stomach, bladder
abnormal accumulation of serous fluid within the peritoneal cavity.
associated with Congestive Heart Failure, cirrhosis, cancer, or portal hypertension
blowing, swooshing sound heart thru a stethoscope when an artery is partially occluded.
inflammation of the gallbladder
lower border of the rib margin formed by the medial edges of the 8th, 9th, and 10th ribs
angle formed by the 12 rib and the vertebral column on the posterior thorax overlying the kidney
abnormal enlargement of the liver
peritoneal friction rub
rough grating sound heard through the stethoscope over the site of peritoneal inflammation
the stomach and intestines will have what sound sound (dull, tympanic, flat etc)
Tympanic: high pitched, musical, drumlike percussion note
the correct sequence of techniques used during an exam of the abdomen
inspection, auscultation, percussion, palpation
RUQ tenderness may indicate pathology in the
liver, pancreas, or ascending colon
hyperactive bowel sounds are
high pitched, rushing, tinkling
the range of normal liver span in the Right mid clavicular line in the adult is
Auscultation is begun in the RLQ because
vascular sounds are best heard in this area
Spleenic percussion has a
shifting dullness is a test for
Murphys sign is described as
pain felt when taking a deep breath when the examiners fingers are on the approximate location of the inflamed gallbladder
what side should the nurse stand on during an abdominal assessment
Right side of the client
Why is auscultation performed before palpation and percussion?
because palpation and percussion can alter bowel sounds
old, white, silvery stretchmarks from past pregnancies or weight gain
engorged superficial capillaries of the abdomen
when documenting scars, what should be noted
size and quadrent
Describe 4 abdominal contours
scaphoid- sucked in
: abnormal... round distended stomach.this may indicate an abdominal obstruction or hernia
hyperactive bowel sounds
normal= 5-30 bowel sounds per minute
if a bruit is present... it could mean
aneurysm (bulging of an artery)
arterial stenosis (narrowing)
a venous hum is heard in the ___ or ___ regions and suggests
epigastric or umbilical
obstructed portal circulation (usually when pt has cirrhosis)
is when scar tissue forms usually after a fatty liver state
connective tissue forms over liver and kills cells
What is the purpose of light palpation?
to identify areas of tenderness, masses, or muscular resistance
depress the abdominal wall 1 cm
What is the purpose of deep palpation?
assess for organ enlargment, masses, bulging, or swelling