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Nursing - CS - Nursing Assessment of The Abdominal Cavity - 03

The document provides information on assessing the abdominal cavity including the contents of the abdominal cavity, the four abdominal quadrants, the order of assessment, normal and abnormal findings for inspection, auscultation, percussion and palpation.

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jojocircus1995
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156 views1 page

Nursing - CS - Nursing Assessment of The Abdominal Cavity - 03

The document provides information on assessing the abdominal cavity including the contents of the abdominal cavity, the four abdominal quadrants, the order of assessment, normal and abnormal findings for inspection, auscultation, percussion and palpation.

Uploaded by

jojocircus1995
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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NURSING ASSESSMENT

OF THE ABDOMINAL CAVITY


Contents Physical Abdominal Quadrants
of Abdominal Cavity Assessment Right upper Left upper
quadrant quadrant
Order of abdominal (RUQ) (LUQ)
Liver assessment
Spleen Right lower Left lower
Stomach 1 Inspect quadrant quadrant
Pancreas (RLQ) (LLQ)
2 Auscultate
Kidney
3 Percuss CLINICAL TIP:
Gallbladder
Small intestine 4 Palpate Complete each assessment in all 4 quadrants.
Large intestine
REMINDER: Do not palpate the abdomen
Bladder if an undiagnosed mass is present
Reproductive This assessment order varies or bruits are auscultated.
organs from other areas of the body. Contact provider first.

Assessment Normal findings Abnormal findings


1
Assess for shape, skin
Abdomen is soft, symmetric, and Ascites
abnormalities, masses,
without distention. There are no Grey
movement w/ reparations Caput
visible lesions or scars. Turner’s
or pulsations. medusa
sign
2
Assess presence of bowel Bruit
Bowel sounds are present
sounds as well as their No bowel
and active in all 4 quadrants.
frequency and location. sounds
No bruits.
Auscultate vascular sounds.

3 • General tympany with


scattered dullness heard in all
quadrants Dullness in
Assess presence
LLQ: could
of tympany or dullness. indicate stool,
• Dullness heard in upper right mass, or fluid
quadrant over the liver
4
Abdomen soft to touch with
Assess for consistency, Mass
no masses, swelling, pain,
tenderness, masses, rigidity.
and rigidity Pain

• Normoactive: 5–30 sounds per minute Tympany: sounds like a drum;


Frequency heard over air-filled structures
of bowel • Hypoactive: < 5 sounds per minute
sounds: • Hyperactive: > 30 sounds per minute Dullness: sounds like a quiet thud;
• Absent: no bowel sounds after 3 minutes of listening heard over fluid or solid organs

NOTES

www.lecturio.com/nursing Watch Video

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