Card Set Information
What comes first? Auscultation or Palpation?
Cholectcystitis is suspected if pain is felt when patient takes a deep breath while the nurse is deep palpating and patient abruptly stops. This is referred to as what?
Costalvertebral angle CVA tenderness or severe pain may be caused by what?
What part of the stethescope do you use when listening to bowel sounds?
What part of the stethescope is used when listening to arterial and venous sounds in the abdomen?
Swooshing sounds, occuring during systole, occurs over which six regions?
Right and Left
Renal, Iliac, and Femoral arteries
______ indicates turbulent blood flow caused by narrowing of blood vessels.
Deep palpations checking for abdominal tenderness and masses should push __ to __ cm.
This technique uses both hands for deep palpation where top hand exerts the pressure.
When percussing the abdomen, _______ tone should be heard most and is due to the presence of _____.
Percussion of suprapubic area may sound _____ when urinary bladder is distended.
An enlarged _______ is brought forward on inspiration and produces a ____ tone when percussed.
Which three organs are nonpalpable?
Palpable and tender gallbladder may indicate ________.
What does a nontender enlarged gallbladder indicate?
common bile duct obstruction
When checking for cholecystitis, client experiences pain and abruptly stop inhaling during palpation. This is known as what?
How do you check for abdominal reflexes?
Using a reflex hammer, stroke upper ab in an upward motion away from umbilicus, and a downward stroke of the lower abdomen away from the umbilicus.
What should be observed when checking abdominal reflexes?
Movement of umbilicus towards the area stroked
2 tests that determine if there is fluid in the abdominal cavity
Shifting dullness test
Fluid wave test
3 conditions CVA tenderness may indicate.
Describe shifting dullness test.
Used when abdominal cavity fluid is suspected.
Client lies supine.
Line is drawn midline.
Patients rotates to each side for percussion.
Dullness shifts to dependent side where fluid is.
Describe the fluid wave test.
Client lies supine.
Nurse places hands on both sides of abdomen.
Taps one side and feels wave hit other hand.
When is rebound tenderness present?
When the pain is less when pressure is applied and returns when pressure is removed.
What is a positive McBurney sign indicative of?
Where is McBurney's point located?
Halfway between the umbilicus and the right anterior iliac crest.
This muscle test indicates appendicitis.
Iliopsoas muscle test
A positive obturator muscle test may indicate what two things?
What is Ballottement?
Palpation technique used to determine a floating mass.
This method is used when one hand pushes down on the abdomen and the other hand pushes upward to determine size and shape of floating mass.